Managing Resources in an Era of Disruption - D157Performance Assessment:Managing Resources in an Era of Disruption E-Portfolio (LAM3)

SMART+C Criteria

Questions

SMART+C Criteria

Answers

Specific: What is your project?

This project aims to decrease inpatient falls by 30% by implementing a new comprehensive fall prevention protocol to include enhanced fall risk assessments, q15-minute checks, and frequent rounds by staff to enhance monitoring systems and ensure the consistent use of appropriate signage and equipment.

Measurable: What are the indicators or parameters that will be measured?

To reduce patient falls in the hospital by 30% we will measure fall rates monthly and compare them to baseline data. The project starts on 9/11/23 and ends on 6/15/2024 The specific measure we will track is the percentage reduction in patient falls. Our best practice recommendation involves implementing a comprehensive fall prevention program. Specifically, we propose enhancing patient assessments, improving staff training on fall prevention strategies, and ensuring the consistent use of appropriate signage and equipment. Regular audits and feedback sessions will be conducted to monitor compliance and identify areas for continuous improvement. By actively addressing the contributing factors and fostering a culture of safety, we aim to achieve a significant reduction in patient falls by June 15, 2024.

Achievable: How feasible or realistic is the project? Is it feasible for you to complete your project?

The goal of achieving a 30% reduction in falls is viewed as ambitious yet realistic, supported by successful outcomes observed in recent studies implementing fall protection measures. The documented decrease in fall incidents underscores the justification for the project, addressing a clear need for enhanced fall prevention measures in healthcare settings. This initiative aligns with the organization's commitment to patient safety and quality improvement, validated by recent evidence demonstrating a reduction in fall rates. The availability of resources, including personnel and technologies, enhances the feasibility and potential success of the project (Rafferty et al., 2024). The crucial assessment of benefits versus risks, reflected in the impact ratio score, signifies a positive overall impact. Additionally, the SWOT analysis contributes to strategic planning, leveraging strengths and opportunities for maximal benefits while addressing weaknesses and mitigating potential threats, thereby forming a robust risk management plan.

Relevant: How worthwhile is the project to the organization?

The successful implementation of the fall reduction project, incorporating staff training, 15-minute checks (Q15), and enhanced monitoring systems through frequent rounds, would yield multifaceted impacts across the target population, the organization, and the nursing practice. For the target population, primarily patients, the initiative promises a notable improvement in safety (Delaforce et al., 2023). By employing preventive measures, such as staff training and vigilant monitoring, the project aims to create a secure environment, fostering a sense of well-being among patients.

On an organizational level, success in reducing falls signifies an elevation in the overall quality of care. This commitment to patient safety not only enhances the institution's reputation but also contributes to positive perceptions among patients, their families, and the community at large. Additionally, the project's success has the potential to optimize resource utilization by reducing the need for interventions and mitigating associated costs, thereby positively impacting operational efficiency and financial health.

Within the realm of nursing practice, a successful project signifies continuous professional development. Staff training equips nurses with advanced skills in fall risk assessment and prevention, aligning nursing practices with evidence-based approaches. This evolution fosters a culture of ongoing learning and improvement. Furthermore, the project may strengthen interdisciplinary collaboration, promoting enhanced communication and coordination among healthcare professionals. This collaborative approach contributes to more holistic and patient-centered care, emphasizing the interconnectedness of various healthcare disciplines.

Time-Bound: What are the start and end dates of the project?

Falls represent a critical threat to patient safety, often resulting in severe complications, emphasizing the paramount importance of fall reduction as a primary objective.

Regarding the project's timeline, it commenced upon receiving CLPS approval on 9/11/23 and initiating work on D156 on 9/12/23. The project will continue until completion on 6/15/24 before my anticipated graduation date as outlined in my degree plan 6/30/24. These milestones, from the initiation of CLPS approval and the start of D156 to the conclusion of the project aligning with the graduation timeline, delineate the entirety of the project duration. The comprehensive coverage of these dates encompasses the entire period dedicated to executing and completing the project, ensuring alignment with the designated academic timeline. This holistic timeline reflects the full scope of the project's duration, adhering to the time-bound instructions provided.

Challenging: What is challenging about the project?

The absence of clear, consistent protocols can lead to inconsistencies and falls. short staff. If staff compliance is not met, the project won't succeed, and the fall bundle won't be applied.

SMART+C Project Goal:

The goal of this project is to apply measures for reducing the risk of falls in healthcare settings that are supported by empirical research.

SMART Goal Example: The goal of the project is to decrease falls by 30% during the project – which started on September 11, 2023, and will end on June 15, 2024 – through the implementation of a new comprehensive fall prevention protocol including enhanced fall risk assessments, q15-minute checks and frequent rounds staffs (RN LVN and CAN ) to enhance monitoring systems, and ensuring the consistent use of appropriate signage and equipment   The challenge for the organization is the absence of clear, consistent protocols which lead to inconsistencies and falls as well as short staffing.

S= specific problem falls in the healthcare setting.

S =   Specific intervention) Reduced falls by 30% in 10 months after implementing a fall bundle

M= Measure for outcome the number of falls reported in the hospital will collect data on falls per month throughout the one-year measurement period and the information will be compared to the fall recorded per month in the previous year.

A= Achievable (in your Chart)

R= Relevant (is in your chart)

T = Time of the project The project's duration, which begins in September 2023 and ends in June 2024, will be compared to the data from the prior year

C = Challenge goal the absence of clear, consistent protocols can lead to inconsistencies and falls. short staff. If staff compliance is not met, the project won't succeed, and the fall bundle won't be applied.

Goal Outcome Statement:

This project aims to establish robust treatments and procedures to significantly reduce falls among patients. By achieving this, the overarching outcomes extend to the broader target population, the organization, and the nursing practice.

For the target population, the larger outcome is a substantial enhancement in patient safety. The successful implementation of effective treatments and procedures not only mitigates the risk of falls but also ensures a secure and conducive environment for patients, promoting their overall well-being.

At the organizational level, the larger outcome involves an improvement in healthcare outcomes. A reduction in falls correlates with enhanced quality of care, patient satisfaction, and the organization's overall performance metrics. These positive outcomes contribute to a favorable reputation and increased trust within the community.

In terms of nursing practice, the larger outcome revolves around the cultivation of a proactive and evidence-based care approach. The development and implementation of effective treatments and procedures empower nursing professionals with advanced tools and strategies to prevent falls. This, in turn, fosters a culture of continuous improvement, evidence-based practice, and collaborative efforts within the nursing community.

HIP Pre-Implementation Tasks/Deliverables (Minimum of Five)

Project Team Members

Project manager

Role

Stakeholder Role

Member 1 Role

Member 2 Role

Member 3 Role

 Budgeting

 A

 C

 I

 I

 R

 Creating WBS

 A

 R

 C

 C

 Writing report

 C

 I

 I

 I

 R

 Communication

 A

 C

 C

 C

 R

 Research and Data Gathering

 A

 C

 C

 C

 R

Role

(Lead Charge Nurse & Project Manager L.K.)

Role

(Nurse Manager, J.M.)

Role

(RN Care Manager, J.H.)

Role

(Lead Charge Nurse, M.M.)

Team

Mem. #1

Team Mem.

#2

Team

Mem.

#3

Budgeting

R

A

A

A

I

I

Creating WBS

A

R

R

R

Writing Report

C

I

I

I

R

Communication

C

I

I

I

R

Research & Data Gathering

C

I

I

I

R

Budget Item (Minimum of Five)

Budget Amount

Comments (as needed)

Personnel Costs

2,102

 Stationary

$100  

Stationary for writing and recording

 Protective gear

$ 500  

To avoid injuries

 Insurance

$ 4000

 Transport

$ 200

For fuel

 Snacks

$ 100

For times when the work goes beyond what was scheduled

  Total:

$ 7,002