How to improve patient discharges to prevent readmission, medical errors, and death?
My nursing situation was a 47-year-old male patient who almost die due to improper discharge planning. The 47-year-old male patient was admitted 3 weeks prior for cellulitis of the scrotum and then discharged the next with an antibiotic by mouth. His prescription for the antibiotic was never sent to his pharmacy. , as a result, he did not take his medication. The infection of his scrotal areas got worst. He was readmitted with severe septic shock, in ICU. He was intubated. Then developed pulmonary emboli. . he had to go to or 3 times for d wound debridement of the infected wound to the scrotal areas. The wounds and his blood culture showed MRSA… he spend 4 weeks in the hospital and then transfer to rehab for wound vac care and iv abt. All could have been prevented if the proper discharge was followed.
Our hospital has 200 beds, and they have seen over 100 patients daily. The patient has been in ER for 3 days because we have no bed available. We have been short of staff, and administration is pressuring the nurse to discharge the patient within 30 minutes of the order being written. The rush is affected our discharge instructions, causing medication errors and deadly complications.
Our staff: in the progressive care unit 3 nurses 1 UC, 1 PCT. When we support having 4 nurses, 1 charge nurse, and 2 patient care assistants (PCT).
PROBLEM
1—poor discharge planning.
2- Pt had to readmit back for complications, and almost die
3—Patient, hospital, and insurance are affected by the cost.

INSTRUCTIONS. I sent you the nursing situation, the problem, procedures, guidelines, and rubric from the instructor. Lastly, I sent a SAMPLER OF MICROSYSTEM ASSESSMENT to have an idea. Please ask someone for help if needed. Please read and follow the instructions


Procedure and Guidelines:
Microsystem Assessment 20% (20 Points): Conduct a microsystem analysis of a particular practice setting (current or a specific potential practice setting where you desire to work in your new graduate practice role). If you are currently practicing, doing an actual assessment of your microsystem is the most beneficial approach to learning this process. You cannot begin this assignment until you have reviewed the appropriate Microsystem workbook Links to an external site.and completed the readings in Nelson.
If you are currently in a role that is accountable for a macro system then you may choose to complete this assignment from that lens and you should clearly identify that you are doing so and that you understand the difference. Make a recommendation for change to promote effective outcomes and ensure safety for individuals. Please include a reflection on how you are living nursing as caring by proposing this change. Develop a potential evaluation processfor your proposal.
Please note that you must first conduct the assessment before you develop your interventions or response to the assessment. The assessment drivesthe recommendation for change. How did your 5-P assessment drive your Global Aim and the need for change? Assignment Directions and Grading Grid (maximum 20 points):
3. Develop a P-D-S-A for your proposed change. (4 points)