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Grand Canyon University Performance Improvement and Quality in Health Care NUR 630 Quality in Health Care Description: The purpose of this assignment is to apply the concepts you have learned in this course to a situation you have encountered. Choose one quality or patient safety concern wit...

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  • April 4, 2022
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  • 2021/2022
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Quality in Health Care



Stephanie Green

Grand Canyon University

Performance Improvement and Quality in Health Care NUR 630

Dr. Linnette Nolte

May 12, 2021

, 2


Quality in Health Care

Quality in healthcare means providing the right care to the right patient or population

within the right time frame. This care should be delivered safely in a timely and efficient manner

using the best available practice measures (Busse et al., 2019). The basis of healthcare quality is

to increase patient safety through the creation of a culture of safety within each organization.

This paper intends to discuss the quality issue of inadvertent hypothermia in surgical patients to

reduce postoperative complications such as surgical site infection, risk of blood transfusion, or

increased length of hospital stay. Included in the discussion of this issue will be challenges

associated with inadvertent hypothermia, how evidence-based practice (EBP), quality

improvement (QI), or research would be utilized in addressing the issue, an explanation of the

applied QI initiative with the associated data sources, outcome, and process data and how this

data is to be captured and disseminated. Finally, a discussion of the organizational culture

necessary for the success and sustainability of the QI will be discussed.

Inadvertent Perioperative Hypothermia and Associated Challenges

Inadvertent hypothermia (core body temperature 96.8⁰ F or lower) in the perioperative

period can come from sedatives, anesthetics, or prolonged skin or body cavity exposure. This

issue can cause complications such as patient discomfort in the post-operative period as well as

wound complications such as infection or delayed healing, complications to the heart and

vascular system due to shivering and increase the chance of bleeding requiring blood

transfusions (Madrid et al., 2016). Other potential complications from perioperative hypothermia

include an increased length in hospital stay and increased change of mortality.

Potential challenges to providing a normothermic environment to avoid inadvertent

hypothermia in the perioperative period include maintaining operating room temperature of 68⁰

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