Executive Summary Assignment Paper

Executive Summary Assignment Paper

Executive Summary Assignment

1a. Topic

The proposal is to use an evidence-based care bundle to optimize sepsis care. The care bundle uses a sequential organ failure assessment (SOFA) score to identify patients with sepsis. Complications are not uncommon in sepsis care. Inconsistency in sepsis care is reflected by the variable rates of complications, particularly slower recover, re-hospitalization, morbidity and mortality. Optimizing sepsis care would reduce all these complications through facilitating early identification and treatment. Sepsis is an overwhelming infection that causes a physical response in the patients. It can present as a syndrome of non-specific symptoms thereby delaying efforts to recognize, diagnose and treat the sepsis, thereby increasing the complications. The proposal seeks to implement an evidence-based sepsis care bundle that consolidates the processes of identifying patients with care and initiating care using a uniform checklist across the whole system. This is expected to positively influence sepsis outcomes (Centner et al., 2020). In essence, the proposed sepsis care bundle is offered as a comprehensive data-driven approach that facilitates early sepsis identification and standardizes treatment efforts, to include issuing evidence-based alerts. Executive Summary Assignment Paper

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1b. Proposal

  1. The purpose of the quality improvement initiative.

Sepsis is a potentially fatal condition. This is especially the case when it is not identified early such that treatment is delayed with complications occurring. In essence, sepsis carries a high risk of death for the patient. Early identification of sepsis is a challenge since the patient would present a physical response as a syndrome of non-specific symptoms, similar to other overwhelming infections. This ends up delaying efforts to recognize, diagnose and treat sepsis thus leading to increased mortality rates. The proposed evidence-based care bundle is expected to address this concern by helping in identifying patients with sepsis sooner, and facilitating early treatment thus leading to reduced complications (Zhang et al., 2019).

  1. The target population or audience.

The target population is patients with sepsis. As earlier indicated, there is a concern that late identification of sepsis cases results in complications that include mortality. Sepsis presents a syndrome of non-specific symptoms that can be difficult to associate with the condition. Although the facility has implemented a sepsis care bundle based on systemic inflammatory response syndrome (SIRS), a review of published evidence reveals that sepsis has diverged from the SIRS criteria for diagnosis and management. SOFA is the new gold standard thereby necessitating the development of a sepsis care bundle based on SOFA (Zhang et al., 2019).

  1. The benefits of the quality improvement initiative.

The quality improvement initiative makes a change from using a sepsis care bundle based on SIRS to using a care bundle based on SOFA. The change from SIRS to SOFA is expected to offer significant benefits. It is expected to provide a rapid, simple score that measures the probability of poor outcomes. In addition, it will aid the medical personnel in more timely stratification of patients with sepsis, especially concerning identifying the patients who need escalated care to prevent deterioration. Besides that, SOFA ensures that the tool is as sensitive and specific as desired (Dykes et al., 2019). Overall, the SOFA-based sepsis care bundle is expected to allow for a comprehensive data-driven approach that facilitates early sepsis identification and standardizes treatment efforts, to include issuing evidence-based alerts. Executive Summary Assignment Paper

  1. The interprofessional collaboration that would be required to implement the quality improvement initiative.

Interprofessional collaboration will be required to implement the sepsis care bundle. The collaboration will engage medical staff providing critical care, particularly case managers, respiratory care practitioners, pharmacists, advanced practice providers, and critical care nurses. Each of these critical care personnel provide unique perspectives and expertise to the care of patients with sepsis, and therefore play an important role in using and overseeing the use of the sepsis care bundle (Donovan et al., 2018).

  1. The cost or budget justification.

The cost of implementing the quality improvement initiative has been estimated at $1,500. First, $500 will cover the cost of preparing and printing the posters, leaflets, summary and report on the SOFA-based sepsis care bundle. Second, $1,000 will cover the cost of preparing training materials, engaging trainers, and training the medical personnel on how to effectively implement the new sepsis care bundle to optimize sepsis care.

  1. The basis upon which the quality improvement initiative will be evaluated.

The quality improvement initiative will be evaluated on the basis of whether or not it achieved the anticipated benefits. First, it is expected to provide a rapid, simple score that measures the probability of poor outcomes. This benefit will be evaluated based on feedback from medical personnel who use the new sepsis care bundle. Second, it is expected to aid the medical personnel in more timely stratification of patients. This benefit will be evaluated based on feedback from medical personnel who use the new sepsis care bundle. Third, it is expected to be sensitive and specific as desired. This benefit will be evaluated based on the hospital data regarding identified and missed sepsis cares. Fourth, it is expected to facilitate early sepsis identification and standardize treatments to ensure positive outcomes. This benefit will be evaluated based on hospital data regarding adverse outcomes among patients with sepsis (Dykes et al., 2019; Garcia-Dia, 2019). Executive Summary Assignment Paper

References

Centner, F-S, Schoettler, J. J., Fairley, A-M., Lindner, H. A., Schneider-Lindner, V., Weiss, C., Thiel, M., & Hagmann, M. (2020). Impact of different consensus definition criteria on sepsis diagnosis in a cohort of critically ill patients—Insights from a new mathematical probabilistic approach to mortality-based validation of sepsis criteria. PLoS ONE, 15(9), e0238548. https://doi.org/10.1371/journal.pone.0238548

Donovan, A. L., Aldrich, J. M., Gross, A. K., Barchas, D. M., Thornton, K. C., Schell-Chaple, H. M., Gropper, M. A., Lipshutz, A., & University of California, San Francisco Critical Care Innovations Group (2018). Interprofessional Care and Teamwork in the ICU. Critical care medicine, 46(6), 980–990. https://doi.org/10.1097/CCM.0000000000003067

Dykes, L. A., Heintz, S. J., Heintz, B. H., Livorsi, D. J., Egge, J. A., & Lund, B. C. (2019). Contrasting qSOFA and SIRS Criteria for Early Sepsis Identification in a Veteran Population. Federal Practitioner, 36(Suppl. 2), S21-S24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453603/

Garcia-Dia, M. (2019). Project Management in Nursing Informatics. Springer Publishing Company.

Zhang, W., Zheng, Y., Feng, X., Chen, M., & Kang, Y. (2019). Systemic inflammatory response syndrome in Sepsis-3: a retrospective study. BMC Infectious Diseases, 19, Article number 139. https://doi.org/10.1186/s12879-019-3790-0 Executive Summary Assignment Paper

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1a. Select a topic for your Executive Summary assignment. In 100 words post your idea and basic thoughts about the topic. 1b. In this assignment, you will propose a quality improvement initiative (which is the topic for your Executive Summary) from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary to present to the board, from which the board will make its decision to fund your program or project. Include the following: 1. The purpose of the quality improvement initiative. 2. The target population or audience. 3. The benefits of the quality improvement initiative. 4. The interprofessional collaboration that would be required to implement the quality improvement initiative. 5. The cost or budget justification. 6. The basis upon which the quality improvement initiative will be evaluated. You are required to cite a minimum of 4 peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Executive Summary Assignment Paper

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