To ensure that every member executes their roles as expected, training will be held and a monthly meeting set to address any setback found and reinforce the best practices. The project will also be handled using HRO model whose focus is safe reliable performance (Padgett et al., 2017). The project team will build expectations in their roles, routines, and strategies. The expectations will ensure that they follow an order and can predict the outcomes surrounding patient falls. The model also imparts mindfulness that will empower the team to manage unexpected events. The team will be able to establish early warning signs and thus will offer timely response towards unexpected events.
The initiative expects to reduce the fall rates within the hospital. However, the effects expected are reduced length of stay, lesser readmissions and increased hospital safety (Khalifa, 2019).The reduced fall rates will enhance the work-life balance of the team because reduced readmissions and reduced length of stay mean that the emergency department will not be overcrowded. Beds will be available for patients and physicians will be able to offer quality care to their patients. research indicates that high numbers of patient increases chances of making errors thus number of errors will reduce in the hospital. Once the project achieves its objectives, the team will have an increased feeling of belonging to an efficient work community. The level of staff burnout will decrease which eventually will reduce staff turnover and enhance the overall productivity of the hospital (Khalifa, 2019).
Interprofessional communication occurs when team members communicate in a collaborative and responsible manner (Foronda, MacWilliams & McArthur, 2016). To enhance communication, good listening skills will be fostered as well as mutual respect for all team members. All members will be offered a chance to contribute and an environment where they feel comfortable to give constructive feedback will be created. Additionally, members will be expected to communicate clearly and offer sufficient information. Any information required will be presented in a timely manner and appropriate health care providers will be notified of the patient’s condition (Foronda, MacWilliams & McArthur, 2016). The members will be expected to be polite and respectful, respond to other team members and review notes from nurses and other health care professionals.
To ensure a standardized approach to communication, the Situation, Background, Assessment, Recommendation (SBAR) tool will be used. Any message will be prepared using the SBAR framework and the messenger will ensure that the recipient of the message has understood the information. The tool will be used to communicate patient fall risk factors and suggest intervention, change in patient status, fall occurrence and environmental concerns (Reuben et al., 2017). The tool was selected because it outlines standardized prompt questions in four sections that ensure that information shared is focused and concise. It reduces the need for repetition reducing occurrence of errors and prompts team members to develop information using the right level of detail.
An analysis of Washington Hospital reveals that it has improved in almost all the indicators although it has not achieved the set targets. An evaluation from the unit managers led to a decision of reducing the fall rates to hit the set benchmark of zero rates. The selected initiative was standardizing intentional rounding and educating patients and families. The project is to be executed by an interprofessional team and they will be using the SBAR tool as their communication tool.
AHRQ (2019). Tool 3B: Scheduled Rounding Protocol | Agency for Healthcare Research & Quality. [online] Ahrq.gov. Available at: https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk-tool3b.html [Accessed 3 Oct. 2019].
Dixon-Woods, M., & Martin, G. P. (2016). Does quality improvement improve quality?. Future Hospital Journal, 3(3), 191-194.
Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional communication in healthcare: An integrative review. Nurse education in practice, 19, 36-40.
Hicks, D. (2015). Can rounding reduce patient falls in acute care? An integrative literature review. Medsurg Nursing, 24(1), 51.
Jenko, M., Panjwani, Y., & Buck, H. G. (2019).
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