Quality Improvement: Complications and Deaths
Introduction
This quality improvement (QI) initiative focuses on reducing complications and deaths related to heart failure in a hospital setting. The two graphs provided illustrate the death rates for heart failure patients from August to December, and show a trend that calls for immediate action. This QI is to address these issues by means of the Plan-Do-Study-Act (PDSA) approach, which supports implementing, evaluating, and refining the initiative, as needed.
Plan
Topic: Selection and Rationale
The topic selected for this QI project is Complications and Deaths at a Hospital with a specific focus on heart failure patients. This topic was chosen due to the observed upward trend in death rates for heart failure patients, as shown in the provided data below (bar chart and line graph). To improve patient outcomes, it is necessary to understand what can be done to reduce negative outcomes for this type of patient
Rationale for Selection
Heart failure is obviously a serious health issue in terms of patient morbidity and mortality. According to the American Heart Association, heart failure affects approximately 6.2 million adults in the United States (Virani et al., 2021). Complications associated with heart failure also contribute to increased mortality rates, and addressing these complications through a targeted QI initiative has the potential to reduce them and associated mortality rates (Roger, 2021).
The QI initiative thus is developed to implement a more effective and focused care pathway for heart failure patients so that the hospital can reduce the rising trend of complications and deaths. The initiative will center on implementing standardized protocols for early identification, intervention, and management of heart failure-related complications.
SMART Goal
The SMART goal for this QI initiative is: To reduce the death rate for heart failure patients in the hospital by 15% within six months through the implementation of standardized care protocols and improved patient monitoring.
Data Summary
Trends in Hospital Data
The bar graph shows an increase in the death rate for heart failure patients from August to November, followed by a decrease in December. The line graph compares the hospital's death rate with state and national averages, indicating that the hospital's rates are consistently higher than both the state and national averages.
Additional Data Needed
To further support the need for the QI initiative, additional data on the following would be helpful: patient demographics...
…a 15% reduction in the death rate for heart failure patients within six months. Success will be determined by evaluating the post-initiative data, including the death rate for heart failure patients after six months, rates of specific complications (infections,
renal failure, arrhythmias), patient satisfaction scores, and readmission rates for heart failure patients.
The criteria for determining the success of the initiative will be a 15% decrease in the death rate for heart failure patients within six months, a measurable reduction in the incidence of complications related to heart failure, improved patient satisfaction scores indicating better quality of care, and decreased readmission rates for heart failure patients. These metrics will give a good assessment of the initiative's impact on patient outcomes and the quality of care being given by the hospital.
Conclusion
This QI initiative focuses on reducing complications and deaths among heart failure patients so as to improve patient outcomes and the level of quality care in the hospital. The PDSA model along with evidence-based strategies will help with this initiative so that the hospital can make improvements in patient care and reduce mortality rates. Good communication and evaluation will help in…
