QUESTIONS:

1. Reflect on the Performance Improvement/Quality Improvement processes at your facility. (WRITER, I WORK IN THE URGENT CARE UNIT WITHIN THE LOS ANGELES COUNTY SHERIFF’S DEPARTMENT JAIL MEDICAL SERVICES BUREAU, so make the answer relatable to this area of nursing and patient care)
   a. Recall an improvement method initiated at your facility.
   b. What data was gathered?
   c. How was this done?
   d. What outcomes were measured and how was change implemented to improve the quality of care and patient outcomes?
   Below is directly from the Leadership and Management for Nurses, 2nd Edition book, please find a way to somehow it be worked into your answer for the questions above, of course utilizing the appropriate APA Formatting and APA Reference list:
   Anita Finkelman (2011, p. 476) cited the following in her book “Leadership and Management for Nurses” the following regarding OASIS:
   “Outcome Assessment Information Set (Oasis) – Some health care organizations such as home health care agencies and some insurers are using national evaluation approaches that are not sponsored by the Joint Commission. Home care agencies use a specific outcome-based approach to quality improvement (QI) called Outcome Assessment Information Set (OASIS), which was developed in the 1990s by the U.S. Department of Health and Human Services. This is a standardized, computerized patient-level assessment with items related to the patient’s physical and emotional state. The focus is on whether or not the patient benefited from the care—outcomes and performance, which should be the focus of care in all types of settings. The process has two stages.
   The first is outcome analysis, which includes data collection using the OASIS assessment form, and then processing, editing, and transmitting the data electronically to a central location that collects data from multiple home health agencies. Then each agency receives a risk-adjusted outcomes report, which compares each agency with other agencies providing a quality report card. Data collection occurs at specified intervals in the patient’s care process.
   The second stage is outcome enhancement when each agency that participates in the process selects outcomes for further evaluation—such as identifying problems and strengths, developing best practices that are incorporated in action plans, implementing and monitoring the plans, and evaluating the effect of these actions in subsequent reports (Mosocco, 2001; Centers for Medicare and Medicaid Services, 2010).”
2. A “culture of safety” is a term about which we hear a great deal. Describe the culture of safety at your organization.
   a. Who is leading the charge to promote safety? (WRITER, I WORK IN THE URGENT CARE UNIT WITHIN THE LOS ANGELES COUNTY SHERIFF’S DEPARTMENT JAIL MEDICAL SERVICES BUREAU, we have a Risk Management Unit and a Quality Improvement Unit within the Sheriff’s Medical Services Bureau that are both tasked with the promotion of safety within the Medical Bureau of the Jail)
   b. What is your role as a BSN-prepared nurse in ongoing strategies to promote safety?
   Below is directly from the Leadership and Management for Nurses, 2nd Edition book, please find a way to somehow it be worked into your answer for the questions above, of course utilizing the appropriate APA Formatting and APA Reference list:
   Anita Finkelman (2011, p. 484) cited the following in her book “Leadership and Management for Nurses” the following regarding evidence-based practice:
   “Evidence-based practice (EBP) helps to identify and assess high-quality, clinically relevant research that can be applied to clinical practice (Institute of Medicine, 2008). Evidence-based practice is viewed as method to improve the quality of care because basing decisions on evidence can better ensure that the care needs are met in an effective manner.”