NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications For Practice

Assessment 3: Exploration of Regulations and Implications for Practice
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Student Name
Capella University
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Course Name
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Prof Name
April 18, 2024

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Examination of Regulations and Practice Implications
This inquiry delves into the implementation of a previously recommended fall prevention
program at City Hospital, New York, as previously evaluated. The primary objective of the
program is to bolster patient safety by reducing instances of falls, thereby mitigating healthcare
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costs associated with fall-related injuries. To ensure effective implementation, the program will
embrace a comprehensive approach incorporating the Plan-Do-Study-Act (PDSA) model, a
HIPAA-compliant spreadsheet, evidence-based guidelines, data analysis, and regulatory
compliance.
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Utilizing the PDSA model will facilitate the testing of interventions and integrating feedback for
continuous improvement (Minnesota Department of Health, 2019). Employing a
HIPAA-compliant spreadsheet will guarantee patient confidentiality. Additionally, evidence-based
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guidelines and standards of practice from organizations such as the Joint Commission and CDC
will inform the program's protocols. Regular analysis of data will uncover trends and patterns
related to falls.
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The program's efficacy will be evaluated through establishing baseline data and ongoing
assessment of progress. Adherence to regulations supporting informatics and other pertinent
regulations will also be ensured. This comprehensive approach aims to maximize the
effectiveness and efficiency of the fall prevention program, ultimately enhancing patient safety
within this vulnerable demographic.
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Safety Concerns Associated with Fall Incidence
Patient falls present a significant safety concern at City Hospital, New York. Recent data
indicates that falls account for over half of all patient injuries, with individuals aged 60 and above
being particularly vulnerable (Appeadu & Bordoni, 2022). The consequences of falls are severe,
ranging from fractures to fatalities (Vaishya & Vaish, 2020). For instance, the case of Mrs. Smith,
an elderly patient admitted after a fall resulting in a hip fracture, illustrates the prolonged
recovery, pain, discomfort, and complications such as pneumonia that can occur, significantly
impacting a patient's quality of life and escalating healthcare costs.
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Mrs. Smith's case underscores the urgent need for proactive fall prevention measures. Multiple
risk factors contribute to falls, including medical conditions, medications, and environmental
factors. Thus, a comprehensive fall prevention program must address all these aspects.
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A crucial step in fall prevention is conducting a thorough fall risk assessment upon patient
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admission. This assessment identifies at-risk patients, allowing for targeted interventions. It
should encompass medical history, medication profile, and mobility status. Based on the
assessment, interventions such as bed alarms, non-slip footwear, and environmental
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modifications can be implemented. Furthermore, regular data tracking and analysis are
essential for understanding the program's effectiveness and continuously improving fall
prevention strategies.
Stakeholders Involved
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Implementing a fall prevention program entails various stakeholders, including hospital

administrators, healthcare providers, patients, families, and regulatory bodies.
Hospital administrators play a pivotal role by providing resources and support for program
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success. Healthcare providers identify at-risk patients, implement prevention strategies, and
monitor outcomes. Patients and families are also involved, being informed about the program's
purpose and encouraged to participate actively. Regulatory bodies like the Joint Commission
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ensure compliance with guidelines to safeguard patient safety and care quality.
Intended Goal of the Initiative

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The primary objective of the fall prevention program is to reduce falls and enhance patient
safety for individuals aged 60 and above. The program employs the PDSA model to continually
refine interventions and a HIPAA-compliant spreadsheet for data storage and analysis.
Evidence-based guidelines inform prevention strategies, with regular progress measurement to
track improvements and ensure regulatory compliance.
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Evaluation of the Initiative
Assessing the initiative's impact involves evaluating compliance with regulations, ethical
principles, and safety standards. The program's success in reducing falls and improving patient
outcomes offers a comprehensive evaluation. Utilizing the PDSA model ensures effective
technology implementation and timely adjustments for optimal outcomes.
Safety Practices
The program ensures safety by adhering to evidence-based guidelines, utilizing the PDSA
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model, and employing a HIPAA-compliant system for data management. Regular monitoring
and analysis identify areas for improvement.
Ethical Considerations
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Ethical values like beneficence and patient confidentiality guide the program. Patients must be
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fully informed and involved in their care while their privacy is safeguarded.
Regulatory Considerations
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Compliance with legal requirements such as HIPAA and OSHA ensures patient confidentiality
and safety. Regular audits ensure ongoing compliance and identify areas for improvement.
Standard of Practice
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Adherence to standards of practice ensures safe and effective care delivery. Compliance with
HIPAA and ANA Nursing Informatics standards is crucial for patient data management and
technology utilization.
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Conclusion
The fall prevention program at City Hospital exemplifies the importance of comprehensive
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guidelines and policy implementation to prevent falls effectively. Employing the PDSA model
ensures successful technology implementation and program execution, ultimately enhancing
patient safety.
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References
Ahmed, A., Saad Ali, H., & Mahmoud, M. (2020). Prioritizing well-being of patients through
consideration of ethical principles in healthcare settings: Concepts and practices. Systematic
Reviews in Pharmacy, 11(5). Link
Appeadu, M., & Bordoni, B. (2022, February 22). Falls and Fall Prevention. PubMed; StatPearls
Publishing. Link
Gonzalez, R. (2021). Improving fall risk assessment in primary care using an evidence-based
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fall prevention protocol. Link
Minnesota Department of Health. (2019). PDSA: Plan-Do-Study-Act (Rapid Cycle

Improvement). State.mn.us. Link
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Mitchell, A. H. (2020). Occupational Safety and Health Administration (OSHA) Regulatory
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Compliance. Preventing Occupational Exposures to Infectious Disease in Health Care, 51–66.
Link
Olejarczyk, J. P., & Young, M. (2022). Patient rights and ethics. National Library of Medicine;
StatPearls Publishing. Link
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Strudwick, G., Booth, R. G., Bjarnadottir, R. I., Rossetti, S. (Collins), Friesen, M., Sequeira, L.,
Munnery, M., & Srivastava, R. (2019). The role of nurse managers in the adoption of health
information technology. JONA: The Journal of Nursing Administration, 49(11), 549–555. Link
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Vaishya, R., & Vaish, A. (2020). Falls in older adults are serious. Indian Journal of Orthopaedics,
54(1), 69–74. Link
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Assessment 3: Exploration of Regulations and Implications for Practice

April 18, 2024

Implementing a fall prevention program entails various stakeholders, including hospital

Intended Goal of the Initiative

Minnesota Department of Health. (2019). PDSA: Plan-Do-Study-Act (Rapid Cycle

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