1. What process changes could be implemented to achieve 80 to 90 percent reliabi
ID: 168480 • Letter: 1
Question
1. What process changes could be implemented to achieve 80 to 90 percent reliability in preventing and managing heel ulcerations?
2. What process changes could be implemented to reach 95 percent reliability in prevent-ing and managing heel ulcerations?
3. If process changes are made to achieve 80 to 90 percent reliability, how would you measure the effectiveness of these changes?
4. If process changes are made to achieve 95 percent reliability, how would you measure the effectiveness of these changes?
Explanation / Answer
Answer) We know that Heel ulcerations can be well-treated, but the reliability of management and prevention methods strictly depends on their scientific design, feedback mechanism and their flexible manipulation in need. certain process changes are mentioned below which might increase such reliability to as high as 80-90%;
a) A standard protocol with the flexibility of manipulation in case of different needs; so that each nurse in staff knows what actions he/she need to take at which stage of managing heel ulcer of their patients.
b) Strict policy; Let's say if there is a specific requirement in the standard protocol for hourly rotation of their patient so that to ensure proper blood circulation and prevention of ulcer formation. in such condition, there must a strict policy that need to be implemented so that a staff nurse need to follow this process and achieve higher reliability in the prevention of heel ulceration.
c) Memory aid/Checklist; Such checklist is to ensure that each step in the management process is followed. even, when the shift of staff nurse changes, they know what measures have taken previously and follows the process accordingly.
d) feedback mechanism; It is so important to document the positive outcomes as well as negative outcomes for every patient who has undergone their management process. such documentation helps in identifying the loopholes in management process as well as changes which can be implemented to attain higher reliability.
e) Back up plans; Necessarily, every patient is different and may require slightly different measures for treatment. in such case, nurse staff needs to have back plans to work accordingly. apart from patients need, there can be a case of emergency, where there has to be an instant working back up plan.
these were some of the process changes which can be implemented at the ground level to attain 80-90% reliability on prevention and management process on heel ulceration.
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