Initiating Change in the Hospital Name Institution Course Tutor Date
Introduction HAPU are major complications for hospitalized patients. They results in non-healing wounds, sepsis, and even death These injuries amplify the burden of care A reduction in HAPU would certainly reduce the cost of care This presentation focuses on the implementation of a Pink Paper Reminder System to resolve HAPUs
Targeted Goals
To enhance the quality of care To reduce the rate of HAPU in the hospital. To increases nurses' attention in providing care To offer helpful reminders for the prevention of pressure ulcers
Measurement of change
Comparison of pre-and post-implementation results will help to determine if the anticipated change was achieved. Data for comparison will include:Incidences of pressure injuries, The burden and cost of care The length of hospitalization Number of deaths. Level of satisfaction
Projected Outcomes
The new System is expected: To assist nurses to focus attention on patient care To improve nurse’s compliance with care delivery protocols. To reduce the incidences of pressure injuries. To reduce the burden and cost of care. To protect patients from unnecessary suffering
Actions to achieve the outcomes
The project activities include: A brief educational session. The categorization of at-risk patients. Identification of suitable preventative measures Notifying the hospital administration of the proposed intervention
Stakeholders Stakeholders will be: the hospital administration, nurses, nurse informaticists, physicians, and patients.
The nurse informaticist will design the pink paper. The nurses will assess the patient’s level of risk. Nurses will all provide injury prevention care The hospital management will allocate the required resources.
Budget
The projected budget for the project is approximately $10,000. Finances will cater to the printing costs and wages for facilitators The hospital accountant will be the project finance manager The accountant will approve the release of funds The accountant will follow-up with the team to ensure money was utilized appropriately.
Timeframe
The project will be implemented over one month. Project milestones will include: appropriate identification of the at-risk patients The use of the pink paper reminder system to flag high-risk patients. The identification of the best pressure ulcer prevention tactics
Potential Setbacks
Resistance among nurses A negative attitude towards the new system. Insufficient finances
Risk Management Plan
Privacy and confidentiality of patients will be safeguarded Pressure ulcers prevention tasks will be performed for all patients No patient will be denied treatment based on lowpressure injury risk.
Evidence-Based Model
The best evidence base model is the John Hopkins, Evidence-based Practice Model. This model is clinician focused It allows for appropriate application of interventions It facilitates the cultivation of a culture guided by evidence.
Evaluation Plan
Evaluation will focus on major project activities The project budget and resources utilization will be evaluated. The time used to implement the project will also be assessed. The ability of the new system to reduce the incidence of pressure ulcers will be assessed. Data will be collected through observation of hospital records
References Shieh, D. C., Berringer, C. M., Pantoja, R., Resureccion, J., Rainbolt, J. M., & Hokoki, A. (2018). Dramatic reduction in hospital-acquired pressure injuries using a pink paper reminder system. Advances in skin & wound care, 31(3), 118-122. http://doi:10.1097/01.ASW.0000527966.72494.61 Wyant T., (2017). Adopt an Evidence-Based Practice Model to Facilitate Practice Change. https://voice.ons.org/news-and-views/adopt-an-evid ence-based-practice-model-to-facilitate-practice-chan ge