How would you analyze and diagnose where the system quality can be improved?
A med-surge teaching unit has a morning routine where the aides do a set of vital signs with an electric BP cuff and enter them in the computer from
Discussion Question
A med-surge teaching unit has a morning routine where the aides do a set of vital signs with an electric BP cuff and enter them in the computer from 7-7:30 am. This is done while the nurses are getting report and ensures that all patients are seen during the shift transition hour and evaluated. As a new nurse you have been trained to do a manual BP and apical rate for any patient with a cardiac history before meds are given. You note that the difference in your vital signs and those of the aides range from a few points to 20 mmHg spread. You are frustrated because you don’t know if you can trust the aides you are working with or the equipement.
1. From a systems based perspective, what are the quality improvement concerns?
2. How would you analyze and diagnose where the system quality can be improved?
3. How would you identify and prioritize change?
4. Where does evidence based nursing practice fit in?
5. After a planned change is instituted, how would you evaluate the outcome?
Discussion answer is in the attached file
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