A QI team is currently working on a project to reduce patient falls. To determine if their intervention will have the desired effect, the QI team piloted the project on one unit. The team chose to pilot the project on one unit so they could make adjustments to the intervention before initiating the change throughout the entire hospital. The QI team needs to measure the following project aim: the effect the intervention has on reducing patient falls. The interventions for reducing falls in high-risk patients include wearing colored socks, signage on the door, call light within reach, and hourly rounding. The QI team assigns the nurse the responsibility to develop a tool to effectively measure the project aim.

1.

What clinical judgment might the nurse make based on the CUES (Assessment) in this scenario when deciding which information to gather when measuring the project aim?

2.

What HYPOTHESIS (Diagnosis) will the nurse consider when deciding which information to gather when measuring the aims?

3.

What ACTION (Plan and Implement) will be most effective for the nurse to take?

4.

How will the nurse evaluate the OUTCOME (Evaluation) for the purpose of arriving at a satisfactory clinical outcome?