SEU Risk Assessment Tools Discussion

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Examine the quality improvement that occurred, including the background and the process changes.

Hospital-acquired pressure injuries are commonly seen in patients and they can be prevented by implementing strategies to reduce the prevalence in hospitalized patients. The interRAI Pressure Injury Risk Scale, Norton, Waterlow, and other risk assessment techniques are mostly used tools for risk assessment. These risk assessment tools will aid in creating interventions that are specifically tailored to the needs of each patient, including pressure relief, specialized mattresses, covering bony prominences, monitoring equipment, nutritional support, and the use of skin moisturizers. 

Also, medical professionals received three weeks of training on how to use risk assessment and intervention tools (Al-Otaibi et al., 2019). 4 The project team saw a decline in the frequency of pressure injuries during the second phase of the PDSA process, which was two weeks following implementation. Therefore, implementing risk assessment tools is crucial in the management of the prevalence of pressure injuries. However, in real life, a significant number of patients are not screened or undergo risk assessment. Al-Otaibi et al. (2019 ) initiated a project that will work to standardize the process of pressure injury risk assessment by assigning a physician, nurses, the hospital wound care team, a quality improvement advisor, and a project manager to work on this strategy that is based on the Institute for Healthcare Improvement Model for Improvement which is a continues cycle of (PDSA: Plan-Do-Study-Act). 

The first cycle consists of daily pressure injury risk assessment by bedside nurses using the Norton tool, order sets to enforce intervention which includes repositioning every 3 hours, use of specialized mattresses, and prophylactic dressing of bony prominences. Furthermore, medical professionals received three weeks of training on how to use risk assessment and intervention tools(Al-Otaibi et al., 2019). 

The project team saw a decline in the frequency of pressure injuries during the second phase of the PDSA process, which was two weeks following implementation (Al-Otaibi et al., 2019). However, the wound care team noticed that bedside nurses needed more instruction in utilizing the risk assessment and intervention tool. As a result, the instrument was altered, a color-coded legend was added, and nurses were given an additional manual. Through daily audits and comments, the interdisciplinary wound care team’s role was strengthened (Al-Otaibi et al., 2019).

In the Third PDSA cycle, the team observed that throughout the first four weeks of the experiment, there was minimal compliance with the usage of preventive dressing over a bony prominence (Al-Otaibi et al., 2019). The wound care team provided more explanation, which showed that bedside nurses had noticed a deterioration in skin integrity in frail elderly patients getting hydrocolloid dressings. As a result, the instrument was changed and the prophylactic dressing was switched entirely to foam dressing (Al-Otaibi et al., 2019).

Explain the challenges in adopting these changes and outline the key issues that need to be considered when implementing the process of change for this decision.

As mentioned previously, challenges could happen due to the high burden on bedside nurses to implement such assessment tools in a daily basis. However, choosing an easily implemented tool such as Norton tool may enhance the process. In addition, creating easy forms for the tool that are colored and have a manual or description will improve the accuracy of results and reduce the time spent doing the assessment. 

Describe how this quality improvement effort aligns with Saudi Vision 2030.

It is well known that pressure injuries add a significant burden on the healthcare system and increase mortality and morbidity rate. In addition to reducing the length of stay in hospitals and the cost of care. Finally, enhancing the role of multidisciplinary teams. All of these outcomes are the main goals in the six systems of care program (SOC) under the new model of care ( MOC) (Chowdhury et al., 2021).

References:

Al-Otaibi, Y. K., Al-Nowaiser, N., & Rahman, A. (2019). Reducing hospital-acquired pressure injuries. BMJ Open Quality, 8(1), e000464. https://doi.org/10.1136/bmjoq-2018-000464

Chowdhury, S., Trauma Center, King Saud Medical City, Riyadh, Saudi Arabia, Sharfuddin Chowdhury, MBBS, MMed, FCS(SA), FACS, Director of Trauma Center, King Saud Medical City, Riyadh, Saudi Arabia. Phone: +966114355555 (Ext: 1385) E-mail: s.chowdhury@ksmc.med.sa, Mok, D., Medical Management Consulting, Birkdale, Queensland, Australia, Leenen, L., & Department of Trauma, University Medical Center Utrecht, Utrecht, The Netherlands. (2021). Transformation of health care and the new model of care in Saudi Arabia: KingdomàVision 2030. Journal of Medicine and Life, 14(3), 347õ4. https://doi.org/10.25122/jml-2021-0070

this is was qoustion 

Locate a peer-reviewed journal article through the Saudi Digital Library.  This article will describe a healthcare quality improvement that occurred within an organization.  In this discussion, you will

• Examine the quality improvement that occurred, including the background and the process changes.
• Explain the challenges in adopting these changes and outline the key issues that need to be considered when implementing the process of change for this decision.
• Describe how this quality improvement effort aligns with Saudi Vision 2030.