Assessment 3: Exploration of Regulations and Implications

for Practice
Student Name

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Capella University

NURS-FPX 6410 Fundamentals of Nursing Informatics

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Prof. Name

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MAR 24, 2024

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Exploration of Regulations and Implications for
Implementation m
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This investigation centers on implementing a fall prevention program, as previously
recommended for City Hospital, New York. The program aims to bolster patient safety
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by reducing fall-related injuries and the associated healthcare costs. To ensure

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successful implementation, the program will adopt 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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The PDSA model will facilitate intervention testing and incorporate feedback for ongoing
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improvement. A HIPAA-compliant spreadsheet will be used to maintain patient

confidentiality. Evidence-based guidelines from organizations like the Joint Commission
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and CDC will inform the program, alongside regular data analysis,, to detect fall-related
trends.
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Baseline data establishment and ongoing progress evaluation will assess the program's
effectiveness. Regulatory adherence will be ensured to uphold informatics standards
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and compliance with relevant regulations. This comprehensive approach aims to

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enhance the fall prevention program's effectiveness and efficiency, ultimately improving
patient safety.

Safety Concerns Related to Fall Incidences

Patient falls pose a significant safety risk at City Hospital, New York. Statistics indicate
that falls account for over half of all patient injuries, with individuals over 60 being
particularly vulnerable. The consequences of falls, such as fractures and head injuries,
can lead to prolonged recovery periods and increased healthcare costs.

For instance, Mrs. Smith's case, an elderly patient admitted after a fall resulting in a hip
fracture, highlights the need for proactive measures to prevent falls. Various risk factors
contribute to falls, including medical conditions, medications, and environmental factors.

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Therefore, a comprehensive fall prevention program must address these aspects.

Assessment of Fall Risk and Intervention Strategies

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A crucial step in fall prevention is conducting a thorough fall risk assessment upon

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patient admission. This assessment identifies at-risk patients, allowing for targeted
interventions. It should encompass the patient's medical history, medication profile, and
mobility status. Based on assessment findings, interventions such as bed alarms and
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non-slip footwear can be implemented. Environmental modifications, including ensuring
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clutter-free floors and adequate lighting, also play a significant role. Patient education
on fall prevention strategies is essential, along with encouraging them to seek
assistance when needed. Regular tracking and analysis of fall-related data are crucial
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for program refinement.

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Stakeholders Involved in Implementation

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Implementing a fall prevention program involves multiple stakeholders, including

hospital administrators, healthcare providers, patients, families, and regulatory bodies.
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Hospital administrators provide resources and support for program success. Healthcare
providers identify at-risk patients and execute prevention strategies. Patients and
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families must be informed and involved in the process. Regulatory bodies establish
guidelines for compliance, ensuring patient safety.
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Objective of the Initiative

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The primary goal of the fall prevention program is to reduce falls and enhance patient
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safety for individuals over 60. It will employ the PDSA model for continuous

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improvement, a HIPAA-compliant system for data management, and evidence-based
guidelines for interventions. Regulatory compliance will ensure patient safety.

Evaluation of the Initiative

To assess the initiative's impact, compliance with regulations, ethical principles, and
safety standards must be evaluated. This includes measuring the program's success in
reducing falls and improving patient outcomes.

Safe Practices

Safe practices involve implementing evidence-based guidelines and the PDSA model.
Patient confidentiality is maintained through HIPAA compliance, with regular data

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analysis for progress tracking.

Ethical Considerations

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Ethical considerations include informed consent, patient privacy, and preventing harm.

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Patients should be informed about the program and treated fairly without discrimination.

Regulatory Considerations

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Regulatory compliance with HIPAA and OSHA is essential for patient safety. Regular
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audits ensure ongoing compliance and identify areas for improvement.

Standard of Practice
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Adherence to standards of practice involves securely managing patient data, training

staff, and ensuring equipment compliance.
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Analyzing the Initiative Using PDSA Model

The PDSA model aids in identifying areas for improvement and evaluating effectiveness
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through planning, implementation, study, and action phases.

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In conclusion, the fall prevention program at City Hospital, New York, requires
comprehensive planning, implementation, and evaluation to effectively reduce falls and
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enhance patient safety.

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References
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1. 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).
2. Appeadu, M., & Bordoni, B. (2022, February 22). Falls and Fall Prevention.
PubMed; StatPearls Publishing.
3. Gonzalez, R. (2021). Improving fall risk assessment in primary care using an
evidence-based fall prevention protocol.
4. Minnesota Department of Health. (2019). PDSA: Plan-Do-Study-Act (Rapid Cycle
Improvement). State.mn.us.
5. Mitchell, A. H. (2020). Occupational Safety and Health Administration (OSHA)
Regulatory Compliance. Preventing Occupational Exposures to Infectious
Disease in Health Care.

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6. Olejarczyk, J. P., & Young, M. (2022). Patient rights and ethics. National Library
of Medicine; StatPearls Publishing.
7. Strudwick, G., Booth, R. G., Bjarnadottir, R. I., Rossetti, S. (Collins), Friesen, M.,

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Sequeira, L., Munnery, M., & Srivastava, R. (2019). The role of nurse managers
in the adoption of health information technology. JONA: The Journal of Nursing

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Administration, 49(11).

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