Was the call bell not answered in a timely way? Was there an obstruction on the floor

Was the call bell not answered in a timely way? Was there an obstruction on the
floor? Were the lights not working properly? Did medication play a part? What
happened to the patient is also documented: was there an injury, what kind of
injury was it, what was

the cost in
terms of LOS, and what were the unanticipated services (return to the OR) or
clinical outcomes, such as infection or malpractice suits? All these pieces of
data are associated with measures. Taken together the information enables an
administrator to grasp the situation

in a complex
way (rather than to assume the nurse was not doing her or his job) and
implement improvements. Good administrators have valid data underlying their
decisions. Data collection and analyses should also be the responsibility of
clinical supervisors, such as the head nurses and the chairs of clinical

Regulatory agencies require hospitals
and health care organizations to correlate human resource indicators, such as
staffing ratios, with quality indicators, such as falls. A common suggestion
that makes a kind of intuitive sense is that patient falls are related to the
number of

nurses and
other health care staff available for bedside care on the unit, if deployed
appropriately. However, in our system, when we collected information that
tracked staffing turnover with the rate of falls (see Figure 2.4), it appeared
there was no correlation between them.

conclusion was that a single indicator (that is, staffing) was insufficient

to explain as
complex a phenomenon as falls. For example, case mix index, that is the degree
of illness associated with specific diagnoses, in combination with staffing
ratios, may be more informative about patients at risk for falls. Without these
data, leadership might have been tempted to increase staff, with the associated
expense, to reduce falls—without success.


Study Analysis

assignment is due Week Five.


60 Percent

Points Available


Points Earned


Additional Comments:
Evaluated measures used to monitor and revise quality program

Evaluated strategies for meeting regulatory and accreditation standards

barriers that may interfere with implementing or revising quality measures

Organization / Development

20 Percent

Points Available


Points Earned


Additional Comments:
Paper is1,700 to 2,100
wordsin length

introduction provides sufficient background on the topic and previews major

conclusion is logical, flows, and reviews the major points

At least four
sources are cited that support the information


20 Percent

Points Available


Points Earned


Additional Comments:
The paper,
including the title page, reference page, tables, or appendixes, is
consistent with APA guidelines for format as directed by the instructor.

The paper is
laid out with effective use of headings, font styles, and white space.

Rules of
grammar, usage, and punctuation are followed; spelling is correct.

Total Available

Total Earned

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