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Report on Plan to Implement Evidence into Practice

Other (Not Listed) Instructions:

REPORT ON PLAN TO IMPLEMENT EVIDENCE INTO PRACTICE .
A plan for the implementation of change in healthcare practice based on IMPLEMENTATION OF A RAPID RESPONSE TEAM. 
THE PLAN WILL HAVE five main sections each approximately 300 words.
A reference list must also be included. 
a. Evidence of the following: 
1. INTRODUCTION, including: a) Overall statement of purpose b) Background situation statement outlining evidence supporting the change you wish to implement c) At least one clear, specific objective d) A list of the target audience/s i.e. Physicians, Nurses, Policy makers, allied health staff etc.
2. GAP ANALYSIS that includes: a) Evidence based demonstration of differences between current (no rapid response team)and proposed practices b) Discussion of key messages and/or recommendations arising from evidence justifying practice change 
3. BARRIER ANALYSIS that includes: a) Identification of probable barriers and/or how they will be identified b) Discussion of barriers that need to be addressed to enable success of implementation. 
4. Reference to CHANGE THEORY/S including: a) Outline of the chosen change theory/s including your implementation process/model/cycle. b) Definition of key constructs of each theory/process/model cycle c) Justification for choice of each theory/process/model cycle: i. suitability to context ii. evidence of prior use and effectiveness 
5. EXAMPLE IMPLEMENTATION STRATEGY, specifically: a) Example educational material or survey/questionnaire designed to do ONE of: i. Informing the plan (eg a survey to inform the gap analysis and/or barrier analysis); OR ii. Implementing the plan (eg education material); OR iii. Audit its progress (eg a survey of target audience/s)
b) Justify choice of strategies relative to: i. Suitability for context ii. Suitability for each of the target audiences iii. Fit with change theory/s and/or implementation process iv. Evidence of each strategy’s prior use and effectiveness

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Implementation of Rapid Response Team Plan
Name
Institution of Affiliation
Instructor
Date
Implementation of Rapid Response Team Plan
Mortality has risen due to the lack of the rapid response team in many of the health care centers. To cut down the high rate of immature deaths being observed within the health care center a rapid response team for each health care should be implemented. From the limited healthcare centers who have been able to implement the rapid response team, they have been able to observe the benefits associated with it. Scientific research shows that rapid response team has greatly changed those care centers. The findings show that with the rapid response team there has been a 50% reduction in the occurrence of cardiac arrests outside the ICU (Buist, 2002). There has also been 17% decrease in the cardiopulmonary arrests (DeVita, 2004). There has also been a decrease in the number of the patients who are admitted to the ICU by 44%, and the severe postoperative adverse events have reduced by 58%. The deaths which occur after operations has also gone down by 37%. This means that the days for the surgical patients to stay in the hospital have reduced from 23.8 days to 19.8 days (Bellomo, 2004). Moreover, there has been a decrease in the unnecessary transfers to the higher levels of care by an approximate of 30% (Goldhill, 1999). From the above statistics, it is clear that if we implement the rapid response team in our health care, then it is likely to be greatly effective for the society who depend on it. Then our main objective should be to reduce the level of deaths associated with the lack of rapid response team and improve the healthcare system in the health care centers. The target group for this change is the physicians, nurses, policy makers, therapists, clinical nurse specialists, allied health staff, medical facilitators such as the government representative.
Gap analysis
Take into consideration a situation where a patient has suffered from unpredicted cardiac arrest. All the medical practitioners are busy attending to the other patients such that if they have to come to the rescue of the patient, then it will take time before the rescue. Having in mind that cardiac arrest demands an instant attention, failure to do that the patient is at a very high risk of death. Studies from United States, Australia, United Kingdom and Canada indicate that 10% of the hospitalized patients die from preventable measures associated with the lack of the rapid response team. Another study in the above regions also stated that suboptimal care occurred in 54% of the hospitalized patients. Those patients require ICU care, but they are not given that care. Moreover, other patients who do not require the ICU care end up in the ICU yet they might not have needed that care if the rapid response team was there (Al-Qahtani & Al-Dorzi, 2010). It is clearly indicated that from the above practice the rapid response care team is likely to increase the safety of the patients as compared to its absence. As observed in the health care centers who have already adopted the rapid response team, the death has been reduced by twice of the previous years. It is no objection that if the rapid response system is introduced within the healthcare centers, the same type of effectiveness is likely to be witnessed in our health centers. The mortality rate is likely to go down, and the chances of the survival for the patients will be high.
Barriers analysis
The greatest barrier to the implementation of the rapid response team is the medical staff itself. It will be ineffective if the medical practitioners in our health care center are not willing to see the rapid response team working in the same institution. The major reason for this is that it's like they are perusing the duties of the medical practitioners. Therefore to identify whether the medical officer is willing to have the rapid response team within the healthcare center, interview shall be conducted and identify the approach of the other medical practitioners within the healthcare (Grissinger, 2010). Another barrier is the acquisitions of the qualified staff who can work as the rapid response team. The staff requires a special education system which is yet to be established within the health care learning systems. The health care center doesn't offer an education system which supports the rapid response team (Braaten, 2015). It creates a barrier when it co...
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