In developing the evidenced based project to improve/increase formal workplace violence reporting utilizing the current “RL Solutions” software, there are several aspects of implementation that will affect the impact of the delivery and success of the plan. The first aspect to consider is the financial impact that the project will have on the organization. The plan entails a unit-based educational piece detailing: What constitutes workplace violence? and how to navigate RL solutions to document violent events, Education will also include the importance and impact of formal documentation, as well as what support processes to anticipate as follow-up to incident reporting. Educational material will be nominal, including a three-fold poster board and small fliers in strategic high nursing traffic areas. It will involve several in-services 10-15 minutes in length, provided by project leader to reach all staff. The larger impact to violence in the workplace is astounding. A 2017 report prepared for the American Hospital Association estimated that workplace violence costs U.S. hospital and health systems $2.7 billion in 2016, including $280 million related to preparedness and prevention, $852 million in unreimbursed medical care for victims, $1.1 billion in security and training costs and an additional $429 million in medical care, staffing, indemnity and other costs related to violence against hospital employees. (ashclinicalnews.org)Other costly aspects associated with WPV are lost wages, legal expenses, workman’s comp claims, diminished public image and employee turn-over expenses. The U.S.Department of Labor, estimates the cost to replace an employee due to workplace violence is approximately two-thirds to twice the annual salary of the employee being replaced.( www.osha.gov)Clinically, the impact of workplace violence leads healthcare workers to commit a greater number of medical errors which correlates with poorer patient outcomes. Also. Healthcare workers who must must take time off work to manage physical or psychological impact of violence put a strain on staffing availability. “Healthcare workers who were victims of violence experienced an average of 112.8 hours her year of sick, disability” (ashclinicalnew.org) which is a little more than twice that of those who did not experience workplace violence. Poor Staffing ratios due to lost staffing availability also stand to impact patient outcomes. The aspect of quality of care is also affected by episodes of workplace violence. A study published in 2001 by Judith Arnetz and Bengt Arnetz, “suggest that the violence experienced by healthcare staff is associated with lower patient ratings of the quality of care.”Additionally, workplace violent incidents contribute to decreased job interest, productivity and confidence, which directly impact the delivery of quality service to the patient. The RL solutions system is already in place, therefor there is no added cost required to design a program from the ground up. The project simply intends to increase the utilization of the current reporting system. Increased reporting will allow the organization to collect and analyze data that can assist the employer with developing prevention and intervention strategies to ultimately reduce workplace violence against workers and the physical and psychological impact victims suffer. It will also help to reduce the deleterious financial consequences associated workplace violence.  Arnetz, J.,& Arnetz, B., (Feb. 2001). Violence Toward Healthcare Staff and Possible effects on the Quality of Patient Care. Social Science and Medicare. Vol.52 Issue 3Beck, D., (Dec. 2018). Hazardous to Your Health: Violence in the Health-Care Workplace. ASH Clinical News. Retreived on Nov. 18, 2019, from https://www.ashclinicalnews.org/features/hazardous-health-violence-health-care-workplace/Hartley, D., Ridenour, M., Craine, J., & Morrill, A. (2015). Workplace violence prevention for nurses on-line course: Program development. Work (Reading, Mass.), 51(1), 79–89. doi:10.3233/WOR-141891Nowrouzi-Kia, B., (2017). The Impact of Workplace Violence on Health Care Workers’ Quality of Life. Developmental Medicine & amp; child Neurology. Vol. 59. Issue 7

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 Hello i need a Good and Positive Comment related with this argument.Thank you.  I need at least two references.  

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Eugenia Uzoechi  
1 posts
Re: Topic 5 DQ 2
Technology and CLABSIs reductionAlthough sophisticated progress has been made in several areas, central line-associated bloodstream infections (CLABSIs) remain a national healthcare problem of crisis proportions. The stakes for healthcare institutions that have not effectively addressed CLABSIs continue to mount (Pageler et al., 2014). Also, the financial stakes for healthcare institutions with CLABSI problems have risen. With the direction from the Congress, the Centers for Medicare and Medicaid Services (CMS) has curbed reimbursing hospitals for hospital-associated conditions, particularly the ones considered preventable. Among the designated preventable conditions is CLABSIs. The above sends a strong message to facilities to implement aggressive CLABSI minimization programs. Among the programs that can be implemented are technological programs (Pageler et al., 2014).An example of a technological program that can be used to address the issue of CLABSIs is a unit-wide patient safety and quality dashboard. This type of technology helps users to measure the outcome metrics such as CLABSI rate, central line utilization and excess cost in relation to the intervention metrics such as hand hygiene and central line maintenance bundle compliance (Field, Fong & Shade, 2018). At the same time, this technology enables users to identify the hospital care location where patients are at increased risk of developing CLABSI. Moreover, it provides infection prevention surveillance teams with automated work lists, and it works by giving the surveillance team the ability to evaluate cases flagged as at-risk, along with supporting clinical details, to make the final determination of the CLABSI case (Field, Fong & Shade, 2018).I plan to use a unit-wide patient safety and quality dashboard because it will provide mw with the ability to rapidly find, assess and document CLABSI cases, efficiently review submission data and CLABSI rates, and easily identify trends in performance and CLABSI prevention bundle compliance. At the same time, this type of technology will help me understand CLABSI risk based on device utilization and bundle compliance a care location to identify and prioritize improvement interventions, and drill down to the facility, unit, service, or patient level to analyze performance, provide feedback, and support measurement of performance improvement interventions.ReferencesField, M., Fong, K., & Shade, C. (2018). Use of Electronic Visibility Boards to Improve Patient Care Quality, Safety, and Flow on Inpatient Pediatric Acute Care Units. Journal of Pediatric Nursing, 41, 69-76.Pageler, N. M., Longhurst, C. A., Wood, M., Cornfield, D. N., Suermondt, J., Sharek, P. J., & Franzon, D. (2014). Use of electronic medical record–enhanced checklist and electronic dashboard to decrease CLABSIs. Pediatrics, 133(3), e738-e746.

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    Re: Topic 6 DQ 2 MONICA
 

Now that I am in the development stage of my project I find myself having more question and wanting to know more than just my original question. I am understanding that this is normal in the developing of an evidence based project to change the focus or that the focus will evolve (Fineout- Overholt, 2011). My question is if a person with pre diabetes makes lifestyle changes and is educated properly can they avoid or delay the onset of diabetes? I would like to know how many of my ESRD dialysis patients could have avoided the chair by receiving proper education and access to doctors. There is a hole in the education in the community and this is how I plan to address the issue. Through working with my mentor who has served the community for 40 year of nursing experience she states that the community needs to be educated in a way they will understand. She also states that the education in this community is hidden and not well advertised. I find this to be a main issue how is someone supposed to know that the education is available for free if they do not know about it. I am sure as I continue to do more research my focus will change again.

Fineout-Overholt, E. , Williamson, K. M. , Gallagher-Ford, L. , Melnyk, B. M. & Stillwell, S. B. (2011). Evidence-Based Practice, Step By Step: Following the Evidence: Planning for Sustainable Change. AJN, American Journal of Nursing, 111(1), 54-60. doi: 10.1097/01.NAJ.0000393062.83761.c0.

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