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22/08/2022
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Applying Project Management Approaches for a Quality Improvement Practice Gap
Quality Improvement Gap
The quality improvement practice gap I have identified in my nursing organization is medication management without physical monitoring of vital signs, weight, or blood levels for illicit drugs. This practice gap is noticeable in my organization and evident in many organizations providing mental health assistance and medical care in general. In research carried out in England, it was found that only 40% of patients on lithium prescriptions in mental hospitals received the necessary checks in primary care (Ayre, Lewis, and Keers, 2023). Many health care providers undermine medication management resulting in medical errors in healthcare settings because of undermining the need for monitoring vital signs and physical patient monitoring.
Sapra, Malik, and Bhandari (2020) state that vital signs are important for present and future care and their monitoring at any medical appointment can provide an outlook of the intensity of the medical issue and the body’s ability to cope with the resulting stress on the physiological wellbeing of the patient. Physical patient monitoring is also critical for medication management, especially in my organization, where patients may have indulged in one or more illicit drugs and this may interfere with the medicine, they are to receive for their mental health care.
SMART Objectives for Quality Improvement Project
One objective for quality improvement for closing the gap in medicine management in mental health practice and my organization specifically is to ensure that the vital signs are checked. Another objective is to ensure the monitoring of the physical factors of patients before the administration of medicine for effective medicine management. The following is the SMART breakdown of the objectives;
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Specific- The objectives will target care providers, where nurses like myself and other members of healthcare teams will be expected to carry out vital signs checks before the administration of any medication. Those who fail to monitor patients will be at risk of disciplinary followings to review their conduct in providing mental health services in the organization.
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Measurable- To measure whether these objectives are being attained, feedback will be gained from administrative records on checking vital signs and physical patient monitoring. According to the World Health Organization (2019), administrative records are one of the sources of data for identifying quality improvement gaps and quantifying the outcomes of related programs for closing the gaps.
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Attainable- The objectives are attainable as they only require the nurses and other care providers in my organization to comply and act accordingly.
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Relevant– These objectives will close the practice gap in the care setting thus reducing medical errors and promoting positive care outcomes for patients dealing with mental health issues.
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Time Bound– Timing such a change in quality improvement and closing the gap in medication management in my organization will require about 3 months as such time is enough to track the critical changes in the practice gap and any more time will undermine the safety of patients and the quality of care provided in the organization.
Activities for Quality Improvement Project
Closing the practice gap in medicine management in my organization will require consideration of the objectives and the resources at hand. In this case, since the organization is still hiring nurses and other healthcare providers, a relevant activity for the mental health facility will be to hire nurses and other healthcare professionals with consideration and competency for medicine management for the patients. This process will involve finding nurses from reputable institutions who demonstrate appreciation for evidence-based practice through the integrity and reliability of the research projects they undertook while studying the course.
The human resource management of the facility will be responsible for this project by thoroughly going through the transcripts and the CVs of the nurse applicants to check for their experience with medicine management. Another activity for closing the gap in medicine management in the organization will be to train the present staff on the need for vital signs and physical patient monitoring before medicine administration. Training the present staff will remind them of the importance of patient monitoring while hiring staff knowledgeable in the same will ensure the culture is retained for closing the gap in the long run.
References
clinical services (No. WHO/CDS/HIV/19.17). World Health Organization.
Sapra, A., Malik, A., & Bhandari, P. (2020). Vital sign assessment.
World Health Organization. (2019). Maintaining and improving quality of care within HIV
The writer is very fast, professional and responded to the review request fast also. Thank you.
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