NURS FPX 6414 Assessment 1 Conference Poster Presentation

Assessment 1 Conference Poster Presentation

Student Name

Capella University

NURS-FPX 6414 Advancing Health Care Through Data Mining

Prof. Name

Date

Abstract

Healthcare professionals strive to enhance care delivery to improve patient outcomes, with a key focus on prioritizing and maintaining patient safety. Falls are the leading cause of unintentional mortality among individuals aged 65 and older in the United States (CDC, 2020), resulting in approximately 2.8 million elderly individuals seeking emergency room treatment annually (CDC, 2020). Several factors, such as confusion, mobility limitations, and urgent toileting needs, contribute to the increased risk of falls among the elderly, both in and out of hospital settings (LeLaurin & Shorr, 2019). In the hospital, between 700,000 and 1 million patients experience falls each year (LeLaurin & Shorr, 2019), with an incidence rate ranging from 3.5 to 9.5 falls per 1000 bed days (LeLaurin & Shorr, 2019). Galet et al. (2018) conducted a study involving 931 patients, identifying 633 individuals at the highest risk of falls due to mental or physical impairments and incontinence. The occurrence of a single fall can prolong a patient’s hospital stay. To mitigate the risk of falls, OhioHealth’s informatics team developed the Schmid tool (Lee et al., 2019) to identify high-risk individuals and implement appropriate preventive measures. The Schmid tool assesses various factors, including mobility, mental status, toileting abilities, history of falls, and current medications. This study aims to evaluate the Schmid tool’s effectiveness in enhancing patient safety and overall healthcare outcomes by utilizing data in conjunction with informatics models.

Introduction

Annually, approximately 2.8 million adults seek emergency department care for fall-related injuries (LeLaurin & Shorr, 2019). Hospitalized patients also face a significant risk of falling, with between 700,000 and 1 million falls occurring each year (LeLaurin & Shorr, 2019). Falls contribute to extended hospital stays, leading to increased healthcare costs. The Schmid tool is utilized to identify patients at high risk of falls by considering factors such as mobility, mental status, toileting abilities, history of falls, and medications. Evaluating the Schmid tool’s effectiveness is essential to enhance patient safety and healthcare outcomes.

Analyzing the Use of the Informatics Model

The Schmid fall risk scale categorizes a patient’s fall risk into four main categories: mobility, cognition, toileting abilities, and medication usage (Amundsen et al., 2020). Mobility includes four subcategories: mobile (0), mobile with assistance (1), unstable (1b), and immobile (0a). Cognition is assessed as alert (0), occasionally confused (1a), always confused (1b), or unresponsive (0b). Toileting abilities are classified as completely independent (0a), independent with frequency (1a), requiring assistance (1b), or incontinent (1c). Finally, medication usage is categorized into various medications such as anticonvulsants (1a), psychotropics (1b), tranquilizers (1c), hypnotics (1d), or none (0) (Amundsen et al., 2020).

Literature Review

Despite a gradual decline, in-hospital falls remain a significant concern for healthcare institutions, as they are a leading cause of harm to patients. Patients suffer increased injury and fatality rates, leading to a diminished quality of life, while healthcare providers face rising expenses due to prolonged hospital stays and medical care costs. Since 2008, Medicare and Medicaid no longer cover fall-related injuries for hospitalization reimbursement (LeLaurin & Shorr, 2019). Hospitals must take preventive measures to reduce patient falls due to the substantial financial burden they impose. Recent studies indicate an alarming trend of readmissions among older patients with traumatic injuries, such as falls, highlighting the need for social support networks and fall prevention initiatives for the elderly (Galet et al., 2018). Falls are the primary cause of injury and mortality among individuals aged 65 and older in the United States (CDC, 2020), emphasizing the importance of fall prevention strategies.

Conclusion

The comprehensive approach outlined in this study demonstrates the potential to reduce hospital falls. Previous research has identified falls as the leading cause of death in the United States. By employing the informatics model throughout the development of the Schmid tool for quality improvement, this study observed a significant reduction in the incidence of falls.

ADDITIONAL INSTRUCTIONS FOR THE CLASS – NURS FPX 6414 Assessment 1 Conference Poster Presentation

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Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NURS FPX 6414 Assessment 1 Conference Poster Presentation

Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.