Answer both of the following questions. Support your summary and recommendations plan with a minimum of two APRN approved scholarly resources. Differentiate acute renal insufficiency versus acute kidney injury (AKI). Explain the diagnosis, etiology, and treatment for both. Describe the types of AKI including prerenal, intrarenal, and postrenal etiologies. Include
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Continuous quality improvement (CQI) is defined by the American Society for Quality (ASQ) as a philosophy and attitude for analyzing capabilities and processes and improving them repeatedly to achieve customer satisfaction” (Huber, 2010, p523). In other words, CQI is more or less a specific process that is focused on improving parts of the job for the benefit of the patient and their ultimate level of satisfaction. Huber (2010) also goes on to identify CQI as a set of specific methods that calculate specific issues, ways of how and when to fix existing issues, and also a method of evaluating whether or not new implementations prove effective. Nurses are also responsible for implementing CQI, which is more or less a process that nurses are trained to do in nursing school. CQI is similar to the nursing process in that it requires assessment, intervention, implementation, and evaluation of outcomes. Staff nurses are expected to fully participate in the CQI process by committing to utilizing a teamwork approach to appropriately address, resolve, and improve specific issues related to process improvements (Huber, 2010). In an effort to reduce waste and decrease cross-contamination amongst patients, an example of CQI that I took place at the first hospital I ever worked at was an implementation of single-use, disposable products for patients. Examples of these products included single-use rolls of tape, single-use rolls of coban, single-use peri care lotions and wipes, single-use wound cleansers, and single-use telemetry cords. I found this ingenious, and was even inspired to do my most recent research paper during week three on this particular topic. With that said, I do realize that implementing the change is only a fraction of what is required with a CQI project. My plan once I graduate with my BSN is to propose this same type of rollout to the current department for which I work.
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Continuous quality improvement (CQI) is an essential aspect of healthcare that aims to enhance patient outcomes and satisfaction. I agree with the original poster’s view that CQI is a specific process focused on improving different aspects of healthcare delivery for the benefit of the patient. Nurses play a crucial role in implementing CQI, as they are trained to assess, intervene, implement, and evaluate outcomes – similar to the nursing process.
The example of implementing single-use, disposable products in the hospital to reduce waste and cross-contamination is an excellent illustration of CQI in action. This change not only addresses immediate issues but also has the potential for long-term benefits. The proposal to implement this approach in the original poster’s department is commendable, as it demonstrates a commitment to patient safety and quality improvement.
However, it is important to note that implementing changes is just one component of a successful CQI project. Effective CQI requires a comprehensive approach involving the entire healthcare team. It necessitates data collection, analysis, and ongoing evaluation to determine the effectiveness of new implementations and identify areas for further improvement.
In conclusion, the original poster’s focus on implementing CQI through the introduction of single-use, disposable products is an excellent initiative. I encourage them to continue exploring opportunities for quality improvement in their department. By actively participating in the CQI process, they can contribute to enhancing patient care and satisfaction.
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