The position of Acute care clinical director at Hospital

Adam was recently promoted to the position of acute care clinical director at Hospital X.  During Quarter three, several patients on multiple patient units under his scope of responsibility have suffered significant injuries from falls that included lacerations, two fractures, and internal bleeding.  Additional complications of these falls have been prolonged lengths of stay and increased cost of care.  Clearly, Adam must take immediate action(s) to prevent falls in the three patient care units where these injuries have occurred.

Should Adam decide what needs to be done quickly to address this situation; or, does this situation require a problem-solving approach?  Defend your answer.

Adam identifies two tactics he believes must be implemented immediately:

• Hourly/Purposeful Rounding
• Bedside Shift Report

While evidence-based practice should be the standard of professional nursing practice; Adam’s initial actions reflect his inexperience in making high stakes decisions and leading large-scale change.

• Identify two examples of gaps in Adam’s understanding of decision making/problem solving?
• Is Adam using the Economic Man or Administrative decision-making approach?  Explain.
• Identify two examples of gaps in Adam’s understanding of how to implement a successful change
• Does Adam’s behavior reflect elements of confirmation bias?  Explain.