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Jan 24, 2024 IHP 604 Module Two Short Paper

SCENARIO: Imagine you are the assistant director of ABC Surgical Center, a free-standing surgical center that typically sees outpatient surgical patients with same-day discharge, though the facility is staffed and prepared for overnight stays when they are required. Unfortunately, the center has experienced five patient falls within the past 30 days (during which there were only 187 patient days which is a rate of 26.74 falls per 1,000 patient days). You have suggested new quality improvement initiatives based on an analysis of the center’s organizational metrics listed in the chart below. Your manager, the director of ABC, questions the need for the change and the validity of the evidence-based literature you shared with her. The director has asked you to research the justification for the need for a change. You have also decided to include a discussion on the validity of the research in the memo.
Evidenced-based literature is the foundation of policy and decision making in healthcare. Prepare a report discussing at least two of the following evidence-based literature in your memo.

Clinical and Safety Performance Metrics PDF, by the NIH https://ccrhb.od.nih.gov/documents/CCRHB_Executive_Dashboard.pdf
Older Adult Falls Data by the CDC https://www.cdc.gov/falls/data/index.html
Falls by AHRQ https://www.cdc.gov/falls/data/index.html
Preventing Falls in Hospitals by AHRQ https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html

Specifically, you must address the following:

Elements of evidence-based literature: Identify the critical elements of evidence-based literature in your chosen reports.
Report validity: Defend the validity of the report.

How was the data collected?
How would you assess the credibility of the report’s source?
How would you assess the validity of the report’s conclusions?

Report applicability: Discuss how your chosen report may or may not be applicable to your surgical center.
Metric comparison: Compare your surgical center’s metrics with data from your chosen evidence-based reports.
Recommendations: Recommend changes for your surgical center based on the chosen evidence-based reports.

How rapidly should your recommendations be implemented?

Organizational culture improvements: Discuss potential organizational culture improvements the director would be creating by adopting your recommendations.

What to Submit
Submit this assignment as a Word document. It must be between 2–3 pages in length. You must also include an APA-style title page. Use 12-point Times New Roman font, double spacing, and
one-inch margins. Sources should be cited according to APA style. If you need writing support, you can access the Online Writing Center through the Academic Support module of your course.
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