NURS FPX 4020 Assessment 4: Improvement Plan Tool Kit

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Walshe, N., Ryng, S., Drennan, J., O’Connor, P., O’Brien, S., Crowley, C., & Hegarty, J. (2021). Situation awareness and the mitigation of risk associated with patient deterioration: A meta-narrative review of theories and models and their relevance to nursing practice. International Journal of Nursing Studies, 124(104086), 104086. https://doi.org/10.1016/j.ijnurstu.2021.104086

The critical role of being aware of circumstances in healthcare is discussed in the writing, especially as it relates to patient safety and the practice of nursing. It highlights just how important it is to comprehend how people, groups, and healthcare systems adapt to worsening patient conditions while keeping awareness in changing task environments. The definition, theoretical terms, and research of situation awareness in inpatient hospital settings were all investigated by the study authors as part of their meta-narrative assessment of the material on healthcare. After studying 120 publications, they were able to identify three main narratives: the use of technology, communication tools, and education to enhance situation consciousness; the individual, team, and systems views on situation understanding; and the relationship connecting situation awareness and the protection of patients. Based on an optimistic research methodology and the legacy of cognitive engineering, the majority of the published work originated in operating rooms and anesthetic departments. NURS FPX 4020 Assessment 4: Improvement Plan Tool Kit: The research emphasizes how critical it is for nurses to recognize failing patients and escalate their treatment. It also underscores the need to take into consideration the intricate sociocultural facets of healthcare teams and the rise of awareness of situations in highly developed technology medical facilities. This study may help guide subsequent studies and organizational nursing practice settings (Walshe et al., 2021).

Pimentel, M. A., Redfern, O. C., Malycha, J., Meredith, P., Prytherch, D., Briggs, J., Young, J. D., Clifton, D. A., Tarassenko, L., & Watkinson, P. J. (2021). Detecting deteriorating patients in hospital: Development and validation of a novel scoring system. American Journal of Respiratory and Critical Care Medicine, 204(1). https://doi.org/10.1164/rccm.202007-2700oc
The development and implementation of an Electronic Noticeboard (HAVEN)-based hospital-wide alerting program to detect hospitalized patients at risk of reversible deterioration is covered in this piece of writing. The study was focused on outcomes like heart attacks or unexpected ICU hospitalizations and employed a previous group of patients from four UK hospitals. Using an automated learning model, the HAVEN system was trained with patient data, which included vital signs, laboratory results, multiple conditions, and frailty. The findings showed that HAVEN outperformed other scoring infrastructures, outperforming those with a preexisting range of 0.700 to 0.863 with a discrimination rate of 0.901 within 24 hours after evaluations. Furthermore, HAVEN outperformed the next best approach, which was able to foresee 22% of cardiac arrests or unscheduled hospitalizations in intensive care units with a lead time of up to 48 hours in advance. It also suggests that when compared to the present methods, especially the National Early Warning Score, HAVEN might considerably enhance early identification of in-hospital worsening (Pimentel et al., 2021).

Environmental Safety and Quality Risks
Burke, J. R., Downey, C., & Almoudaris, A. M. (2020). Failure to rescue deteriorating patients. Journal of Patient Safety, 18(1), 140–155. https://doi.org/10.1097/pts.0000000000000720

The premise of “Failure to Rescue” (FTR), which denotes the incapacity to avert a patient’s death as the consequence of problems that result from medical treatment, fundamental disease, or surgery, is explored in the remainder of the paper. The main objective of the investigation was to find out the causes of FTR and possible treatments that would improve the institution’s FTR rates. A thorough evaluation was carried out, examining several digital repositories throughout 2006 and 2018. Fifty-two of the original 1486 items were rigorously evaluated