NURS FPX6212 Assessment 1 Quality and Safety Gap Analysis

Assessment 1: Quality and Safety Gap Analysis

Student Name
Capella University
Prof Name
Month Date, Year

Quality and Safety Gap Analysis

Unsecure care leads to avoidable adverse events in the medical center. Their predominance is a result of medical institutions‘ generally high standards for patient safety and quality of care. These incidents are included among the top 10 global causes of mortality and disability (Cuzco et al., 2021). Even while medical professionals learn from these incidents, they affect specific patients, their relatives, and the whole healthcare system. An increase in patient care and spending, for example, is caused by unfavorable occurrences. On the other hand, unfavorable occurrences extend hospital stays and raise overall healthcare costs. These incidents also subject individuals to effects on a physical and mental level. This essay will emphasize the issue of hospital expenditure and neglecting Health Insurance Portability and Accountability Act (HIPPA) Laws.

Medical Case Study

Systematic Problem in Organization

Caregivers must assess if their organization can deliver safe and effective care results. My work as a senior nurse is critical in identifying the quality and safety problems in our clinic. I’ve seen that our organization’s failure to adhere to the standards raised hospital expenditures both before and after the pandemic limitations. Additionally, it has been discovered that the caregivers did not adhere to healthcare regulatory regulations including HIPPA. This has also impacted the treatment results for individuals with type 2 diabetes who present to emergency rooms with numerous depressive symptoms and cardiac issues.

Processes to Improve Quality and Safety Outcomes

The average annual expense in the US for a diabetic hospital patient is sixteen thousand seven hundred and fifty-two dollars (Longo et al., 2020).  The problem with diabetes type 2 patient care is that staff nurses neglect to notify doctors of patients’ individual diagnosed and conditions. The patient was rejecting the therapy as a result and showing less interest in the medicine. Patients with hypertension also resisted getting more prescribed medication. Additionally, there were too many diabetic and psychological health patients in the emergency departments. Diabetes medicine has become the most expensive chronic therapy in our hospital, making it unaffordable for many patients. Diabetes patients’ pharmaceutical costs have increased by two-three times more than those of patients without the disease (Longo et al., 2020).

medical ethics woman

To bridge these information and safety gaps, diabetes therapies that are both affordable and effective are needed. For instance, the most effective method for assisting many American patients to lower their risk of type 2 diabetes is to adhere to the Centers for Disease Control and Prevention (CDC) recommendations. To close the information gap between providers and physicians, caregivers should learn about the CDC’s National Diabetes Prevention Program, which recommends practical, evidence-based lifestyle behavioral adjustments (Dey et al., 2021).

The CDC has increased efforts to enhance Diabetic Self-Management Education and Support (DSMES) through the initiative to reduce human diabetes complications. To avoid ninety percent of diabetes cases, DSMES assists individuals and patients with good blood sugar management, hypertension management, and frequent heart and eye exams. Additionally, the most crucial procedure or tactic to using resources when there is a high volume of diabetes patients in the ED is staff training. By doing so, the nursing staff will be able to comprehend their alternatives, acquire new information, and identify treatment gaps. The difference between current practices and necessary safety can also be reduced by expanding the organization’s staff of psychological health and diabetes specialists (Dey et al., 2021).

Doctors communication

Priority of Processes Justified

To manage and prevent type 2 diabetes in patients, caregivers should emphasize the treatments and procedures. For example, the education of caregivers must be prioritized to lower costs and enhance safety results because there is a substantial knowledge gap designed to reduce the risk of diabetes and cut hospital expenditures (Abdi et al., 2020). This may be done by instructing caregivers with the help of licensed doctors and health workers, who will then organize seminars and deliver presentations on how to increase understanding about cutting costs on medication and managing reasonable care during the corona outbreak. The need of making people aware among families and educate patients about the importance of selecting the best diabetes management plan cannot be overstated. The treatment that can lower hospital expenditures through methodical means should be given second priority.

This involves keeping the best workers on board and cutting down on replacement expenses. Caregivers’ irritation and concern about effectively using resources can be reduced by controlling extra and improving incentives for nursing professionals over time. Giving DNP caregivers leadership roles is a smart method to enhance decision-making, save costs, close knowledge gaps, and decrease attrition.

Doctors communication

Proposed Practices Changes Quality Culture

The caregivers’ participation in training and education can have a substantial influence on expenditures at the hospital. They will be able to get more knowledge, get input, and speak out against therapies that are overly expensive and unachievable (Al Hayek et al., 2020). They will also provide recommendations for affordable pharmaceuticals for both patients and the hospital, improve clinical judgment, and help patients manage their pain without needing constant medication.

Lowering their travel expenses and the hospital’s expense of providing beds and emergency room services for diabetic patients, would improve safety results and enable the use of teleconference technology to advise distant patients. Additionally, training activities will increase caregivers’ understanding of the need of treating superiors and employees fairly to lower staff numbers. This costing method will establish a relationship between the organization and patient safety and quality of care results.

Cultural Hierarchy Promote Adverse Quality and Safety Outcomes

Employee attitudes and views about reducing omissions in departments are reflected in the safety culture. For example, the organization’s history of pointing fingers throughout the outbreak has raised expenses and mistakes. The creation of a culture dedicated to listening to patient concerns is the aim of patient safety. This entails altering the social structure in an environment where caregivers are eager to assist patients and minimize drug errors (Bergman et al., 2021). According to academics, a culture of hierarchy fosters long-term durability, consistency, and the retention of happy, healthy workers (Bergman et al., 2021). It is a culture that caregivers regularly adhere to and is based on the finest rules and procedures, such as HIPAA regulations. To increase cooperation and interaction amongst all departments and lower expenses and turnover concerns, our organization’s cultural hierarchy may support clinicians in adhering to a set of norms and values.

Doctors communication

Justification of Changes to Organizational Functions and Processes to Mitigate the Problem

The aforementioned strategies advise nursing staff and all DNP staff to keep the conversation flowing and urge other stakeholders to be transparent about their disputes to decrease turnover and influence costs. Like a team leader, a DNP physician can alter organizational structures, regulations, and design procedures to enhance the system and promote cost efficiency, collaboration, and performance for the benefit of patients with diabetes type 2 (Cuzco et al., 2021).


Abdi, A., Jalilian, M., Sarbarzeh, P. A., & Vlaisavljevic, Z. (2020). Diabetes and COVID-19: A systematic review on the current evidences. Diabetes Research and Clinical Practice166, 108347. 

Al Hayek, A. A., Robert, A. A., Alotaibi, Z. K., & Al Dawish, M. (2020). Clinical characteristics of hospitalized and home isolated COVID-19 patients with type 1 diabetes. Diabetes & Metabolic Syndrome14(6), 1841–1845.

Bergman, L., Falk, A. C., Wolf, A., & Larsson, I. M. (2021). Registered nurses’ experiences of working in the intensive care unit during the COVID-19 pandemic. Nursing in Critical Care26(6), 467–475.

Cuzco, C., Torres-Castro, R., Torralba, Y., Manzanares, I., Muñoz-Rey, P., Romero-García, M., Martínez-Momblan, M. A., Martínez-Estalella, G., Delgado-Hito, P., & Castro, P. (2021). Nursing Interventions for Patient Empowerment during Intensive Care Unit Discharge: A Systematic Review. International Journal of Environmental Research And Public Health18(21), 11049.

Dey, R. K., Hilmy, A. I., Imad, H. A., Yoosuf, A. A., & Latheef, A. A. (2021). COVID-19 and emergencies in patients with diabetes: two case reports. Journal of Medical Case Reports15(1), 57.

Longo, M., Caruso, P., Maiorino, M. I., Bellastella, G., Giugliano, D., & Esposito, K. (2020). Treating type 2 diabetes in COVID-19 patients: the potential benefits of injective therapies. Cardiovascular Diabetology19(1), 115.