Organizational System And Quality Leadership (2)

National initiatives driven by the American Nurses Association have determined nursing-quality outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-quality indicators:

•  complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia, and DVT

•  patient falls

•  surgical patient complications, including infection, pulmonary failure, and metabolic derangement

•  length of patient hospital stay

•  restraint prevalence

•  incidence of failure to rescue, which could potentially result in increased morbidity or mortality

•  patient satisfaction

•  nurse satisfaction and staffing


Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient’s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.


Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Analyze the scenario (suggested length of 2–3 pages) by doing the following:

A.  Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

B.  Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C.  Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario.

D.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

E.  Demonstrate professional communication in the content and presentation of your submission

Informatics Discussion

Informatics has been one of the most valuable assets in the field of nursing; mostly in promoting health care services. According to Rouse (2018), health informatics is a new technological practice that is currently used in health centers for acquiring, studying, and managing health information and data to ensure that better healthcare services have been achieved. Here, the role of technology and its integrated sciences been effectively applied in the nursing field. Notably, informatics has been a fast-increasing tool as technology advances over time.

Undeniably, informatics is profoundly applied in many areas including education and in providing healthcare services. In the healthcare field, informatics is mostly used in differentiated backgrounds including public health, pharmacy, dentistry, computer science, and improving the quality of life. However, in the field of nursing, informatics is used in maintaining the electronic health records (EHR), designing and training other on how to use this new system, acting as a consultant in this field, developing new policies within the nursing field, and managing outcomes that result from the healthcare activities.

Although informatics plays a vital role in the nursing field, the most use of informatics in my field is electronic recording. According to Lown and Rodriguez (2012), electronic record involves documentation of patient’s information through a comprehensive patient care system in electronic devices mainly for medical purposes only. Unlike other methods of recording data, the EHR data recording involves recording information about patients on an online platform which is than entrusted to nurses to handle that data. Here, the information that is received in the EHRs is then used when needed and can be shared from one facility to the other and from one physician to another (Häyrinen, Saranto & Nykänen, 2008). Notably, EHRs holds various benefits to nurses. For instance, the EHRs comes with new improvements such as increasing the facility’s productivity. Moreover, this system is faster and timely, cheap, accurate, competent, secure, easy to use, and provides up to date information which gives reasons why it is profoundly recommended (Hoffman, 2016).

One of the primary areas where I can apply EHR is in the pre-hospital care. An excellent example of pre-hospital care use of EHR is the ambulance services (Koufi, Malamateniou, & Vassilacopoulos, (2010). Here, nurses would be feeding in data and physical conditions of the patients before they reach to the hospital. In these ambulances, the role of EHR would be to ensure patient data sharing, injury /illness prevention, and designing of treatment methods. In conclusion, if nurses can effectively apply the informatic tool, they can lead to a developed health care service.


Häyrinen, K., Saranto, K., & Nykänen, P. (2008). Definition, structure, content, use, and impacts of electronic health records: a review of the research literature. International journal of medical informatics, 77(5), 291-304.

Hoffman, S. (2016). EHR systems: Attributes, benefits, and shortcomings. Electronic Health Records and Medical Big Data, 9-37. doi:10.1017/9781316711149.002

Koufi, V., Malamateniou, F., & Vassilacopoulos, G. (2010). Ubiquitous access to cloud emergency medical services. In Information Technology and Applications in Biomedicine (ITAB), 2010 10th IEEE International Conference on (pp. 1-4). IEEE.

Lown, B. A., & Rodriguez, D. (2012). Commentary: Lost in translation? How electronic health records structure communication, relationships, and meaning. Academic Medicine, 87(4), 392-394.

Rouse, M. (2018). What is health informatics? Retrieved from

ReplyReply to Comment

  •  are you stating if ambulance personnel were able to enter data in real time with a system that interfaced with the ER at the facility, it would allow the ER staff to see what is happening to the patient during transport so the ER would be ready to treat the patient upon arrival, eliminating or decreasing the need for a lengthy report? PLEASE REPLY TO THIS QUESTION
  • Posted: 4 Hours Ago
  • Due: 13/01/2019
  • Budget: $25

Unit 6 300 Assignment

Unit 6: 300 Assignment

HI 300: Determine appropriate health information standards and regulations for specific organizations.


Review the following website:

Source: Healthcare Cost and Utilization Project: United States Department of Health and Human Services. Retrieved from

Create an informational flyer for the Healthcare Cost and Utilization Project. You should use Microsoft Word or Microsoft Publisher to create your advertisement. Include the following information:

What is the HCUP Program?

There are several different database tools used in this program. Name at least four database tools and give a summary for each.

Indicate on the advertisement if your state participates in the HCUP program. If your state does participate in the program, provide the contact information for the person listed.


The Assignment should be a 1-page flyer created using either Microsoft Word or Microsoft Publisher.

This Assignment should follow the conventions of Standard American English (correct grammar, punctuation, etc.). Your writing should be well ordered, logical, and unified, as well as original and insightful. The resources used (including your text) should be properly cited. Your work should display superior content, organization, style, and mechanics.

For Essays Guru – Unit 4 mn566 Translating Evidence into Clinical Practice

Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.

Why should we, as healthcare providers, use evidence-based practice?

Evidence-based practice benefits:

  • Leads to highest quality care and patient outcomes
  • Reduces health care costs
  • Reduces geographic variations in the delivery of care
  • Increases healthcare provider empowerment and role satisfaction
  • Reduces healthcare provider turnover rate
  • Increases reimbursement from 3rd party payers
  • Reduces complications and payment denials
  • Meets the expectation of an informed public

Include 3 evidence-based articles to support your work that are less than 3 years old.

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.   4 pages not including title and reference pages