NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention
NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention Name Capella university NURS-FPX 8035 Foundations of Evidence-Based Practice in Nursing Prof. Name Date Restating the PICOT Question and Outcomes of the Intervention Introduction to PICOT in Healthcare The PICOT framework is a valuable tool in healthcare research, facilitating the development of specific and structured clinical questions. PICOT stands for Patient/Population, Intervention, Comparison, Outcome, and Time, which collectively form the basis for conducting research studies. This study focuses on the PICOT question: “In hospitalized patients (P), does the implementation of incident reporting (I), compared to the absence of such reporting (C), enhance patient safety (O) within a six-month period (T)?” The research conducted by Petschnig and Haslinger-Baumann (2017) provides a foundation for this question, emphasizing the impact of incident reporting systems in improving patient safety outcomes. Understanding the Components of the PICOT Question The PICOT question consists of five key elements that define the study’s structure: P (Patients): Refers to individuals admitted to the hospital for medical care. I (Intervention): Involves the implementation of an incident reporting system within the hospital setting. C (Comparison): Represents a scenario where no incident reporting system is in place. O (Outcome): Measures improvements in patient safety metrics, including a reduction in incidents such as falls and medication errors. T (Time): Specifies a six-month duration for data collection and evaluation of the intervention’s effectiveness. By integrating these components, the PICOT framework provides a structured approach to evaluating evidence-based practices (EBP) aimed at enhancing healthcare safety and quality. Desired Outcomes of the Intervention The primary goal of the incident reporting system is to reduce injuries among patients, nurses, and hospital staff. The intervention aims to prevent incidents such as patient falls, medication errors, and allergic reactions caused by medication administration. A review of past data reveals a significant number of safety incidents. In 2018, three patient falls and two allergy-related incidents due to medication errors were recorded. The following year, the number of patient falls increased to four, along with one nurse injury and one staff treatment-related incident. Following the introduction of the incident reporting system in 2020, there was a marked improvement in patient safety outcomes. That year, there were no reported patient falls, and only one incident related to an allergic reaction due to a medication error. This represents a 100% reduction in patient falls and a 50% decrease in allergic reactions compared to the previous year. Furthermore, no reports of nurse or staff injuries were recorded in 2020, highlighting the intervention’s effectiveness (Petschnig & Haslinger-Baumann, 2017). Continuing the Intervention Plan The incident reporting intervention will be continuously evaluated over a three-month period, with ongoing data collection to assess its success. Key performance indicators (KPIs) will be established to measure the intervention’s effectiveness, including: The frequency of reported incidents per week. The average response time for each reported incident. To ensure thorough monitoring, data will be collected on various factors such as incident categories, response times, incident durations, personnel involved in recording incidents, and patient demographics (including age and gender). Regular reporting on a weekly, monthly, or annual basis will help identify both short-term and long-term trends, facilitating informed decision-making and enabling corrective actions as necessary. Strategies for Sustaining the Intervention For an intervention to be successful and sustainable, strong management support is essential. According to Carlfjord et al. (2018), a proactive approach from hospital leadership significantly contributes to the continued success of an incident reporting system. Management should hold strategic meetings that include nurses, physicians, and other hospital staff, ensuring that their experiences and insights are incorporated into the system. This collaborative approach promotes continuous improvement in patient safety and strengthens staff engagement in maintaining the intervention. Conclusion The implementation of an incident reporting system within hospitals has demonstrated its effectiveness in improving patient safety. Preliminary data highlights substantial reductions in safety incidents, reinforcing the need for continued evaluation and staff involvement to sustain these improvements. The PICOT framework serves as a structured guide for assessing and refining healthcare practices, ultimately fostering a safer environment for both patients and medical personnel. Table: Summary of the PICOT Components Component Description P (Patient/Population) Hospitalized patients receiving medical care. I (Intervention) Implementation of an incident reporting system within the hospital. C (Comparison) Absence of an incident reporting system. O (Outcome) Improvement in patient safety, including reductions in falls and medication errors. T (Time) Six-month period for data collection and evaluation of outcomes. References Carlfjord, S., Ohrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18(1), 1-9. Petschnig, W., & Haslinger-Baumann, E. (2017). Critical Incident Reporting System (CIRS): A fundamental component of risk management in health care systems to enhance patient safety. Safety in Health, 3(1), 1-16. NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention
