3rd response to peers nursing db_sr



Quality Improvement Project Associated with Practice Guidelines

        One of the quality improvement in the emergency room (ER) that is expected the nurses’ to do is reporting to the health care provider a suspected long-bone fracture upon patient’s arrival in the ER and provide pain medication within 30 minutes. Hospital administrators, health care providers, and nursing staff collaborated to study the impact on pain management protocol for suspected long-bone fracture.

Standardized Regulatory Organization

        Guideline recommendations of the Institute for Healthcare Improvement (2016), are timeliness and patient-centeredness are key components of improving the patient experience. While it takes time for a bone to heal, comfort care and pain regimen is significant for faster recovery. This means a person can regain self-independence of doing normal daily activities. The triple aim designed for the recommendations is to reduce health care cost, improve patient satisfaction, and improve health care population (IHI, 2016). Methods for treating long bone fractures have their own risks like the poor functional outcome but usually, surgery is performed only if conservative treatment has failed. No conflict of interest was reported in their study.

Gathered Systematic Data Through Meta-Analysis Research

         In the studies of Grigoryan, Javedan, & Rudolph (2014) included were an inpatient multidisciplinary approach to hip fracture management involving an orthopedic surgeon and a geriatrician. A collaborative evidence reviews relevant not only in the ER but also in every aspect of health care professionals to lessen hospital stay, control pain management, and reduce wait time.


        Long bone fractures may lead to serious complications, where the fractured bone heals in a deformed manner, if not treated, longer hospitalization that may lead to larger health cost. The review of Grigoryan et al., (2014) demonstrates meta-analysis supports ortho-geriatric collaboration to improve mortality after hip repair. It is relevant to know the importance of the time constraint, relief of pain, and pain score for prior and after pain medication administration. The overall meta-analysis research conducted by Grigoryan et al., (2014) found ortho-geriatric collaboration was associated with a significant reduction of in-hospital mortality, long-term mortality, and length of stay was significantly reduced. Furthermore, achieving patient pain satisfaction improves health outcomes. It is a gold standard of care to relieve pain and provide patient satisfaction for patient’s early recovery.