Evidence-Based Practice Project Proposal: Research Design Comparison

PICOTQuestion.docx

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PICOT Draft

Name_____________________________________

Part 1: A Relevant Nursing Practice Problem

Emergency department (ED) declining patient satisfaction.

This topic remains significantly relevant to advancing nursing practice. In all primary care settings, ED serves as a primary entry point into hospitals and reflects the performance of the entire healthcare facility in terms of patient satisfaction scores, financial performance, time patients take to get admitted or discharged, and delivery of quality care. Thus, selecting this topic becomes crucial in understanding the efficiency of delivering emergency services at ED. According to Asheim et al., (2019), ED delays adversely impact patient safety and satisfaction levels and increase the needed time in-hospital treatment. Despite the prioritization of patients with acute conditions, ED crowding has led to delay in admission and treatment, resulting in prolonged wait times and even death of critically ill and injured patients.

Part II: PICOT Question

PICOT Question
P	Population	Patients experiencing decreasing satisfaction levels at ED
I	Intervention	Real-time location systems
C	Comparison	manually entered status updates to track patients
O	Outcome	Decreased rate of Left Without Being Treated (LWBT) and raising revenue collection
T	Timeframe	Six months
PICOT	For patients (P) with decreasing levels of satisfaction, the utilization of real-time location systems (RTLS) in the hospital's ED (I), compared to manually entered status updates to track patients, help to decrease the rate of LWBT and to raise revenue collection for one year?
Problem Statement	The current delays, long waits, leaving without being treated, decreased revenue collection from the ED unit, and reduced patient satisfaction scores have negatively portrayed the hospital's reputation to the public. As a result, the daily patient visits have continued to decrease as people attribute the facility to poor emergency care services delivery. All these complications result from the use of combined data resources and manual entry status updates when tracking patient records. This manual tracking cannot meet the demand for many patients and leads to overcrowding due to and reduced patient flow in the ED. Therefore, there is a need to install an automatic patient tracking system to increase the flow.

References

Asheim, A., Nilsen, S. M., Carlsen, F., Næss-Pleym, L. E., Uleberg, O., Dale, J., ... & Bjørngaard, J. H. (2019). The effect of emergency department delays on 30-day mortality in Central Norway. European Journal of Emergency Medicine, 26(6), 446-452.