QUALITY IMPROVEMENT (QI)
Definition: Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. (QSEN Institute 2013)
Purpose: Quality Improvement occurs on a continual basis and allows for patients to receive the best care that the health care system can provide. The purpose of this assignment is to identify an action, intervention, or method that you believe has the potential to have a negative effect on the patient or health care organization. Support your statement of problem with an evidenced based article. Develop a plan that may be utilized to improve the system, and present this information to your faculty and peers. This assignment will assist the student in the development of student learning outcomes #2 Nursing Judgment, #3 Evidenced-Based Practice, and # 5 Quality and Safety
Learner Outcomes: Upon completion of this assignment the learner will:
1. Identify a safety and quality issue in the health care environment
2. Write a 1 page summary which includes elements of quality and safety
3. Present the findings to the faculty and peers.
Assignment:
1. Identify a quality or safety issue in a health care setting.
2. Explain why this is a safety and quality issue.
3. After identification of this issue, write a one page summary and incorporate safety enhancing technology, national patient safety goals/JCAHO regulations, or evidenced-based practice.
4. Present this information to your peers and instructor at clinical.
CATEGORY Excellent Satisfactory Needs Improvement Unsatisfactory Points
Introduction: Give a brief introduction to the type of facility, unit/department, and the culture of quality and safety within the organization. Introduction is clear and concise. It includes all identified areas.
10 Points Introduction is appropriately written, includes at least two of the identified areas, but lacks detail.
8 Points Introduction is limited, difficult to read, does not clearly identify facility, culture, or unit/department.
4 Points Summary does not contain an introduction.
0 Points
1. Identify an area in health care which is or has the potential to be a safety and quality issue ex (falls, infection control, restraints, medication administration, etc.). You may ask your clinical instructor to assist you in the identification of potential quality and safety issues.
2. Explain why this is a problem in the health care environment. Support your statement with scholarly data.
Clearly identifies a safety/quality problem. Is descriptive, thoroughly explains why this is a problem and supports information with scholarly data.
35 points Lacks detail but identifies problem, and gives explanation as to why this is a problem in the health care environment. Supports explanation with scholarly data.
25 points Very limited in explanation. Or does not support explanation with scholarly data.
15 points Failed to provide an adequate explanation.
10 points
1. Identify safety enhancing technology, National Patient Safety Goals/JACHO, or evidenced-based practice which would increase quality and safety as it relates to the identified issue/problem. Provide a sufficient rationale as to why this intervention/safety goal would be effective. Support your intervention with scholarly data/article(s). To include in-text citations.
2. Discuss the benefits and limitations of the intervention. If selecting a National Patient Safety Goal discuss strategies to ensure that staff are implementing the goal and methods of evaluation.
Summary includes appropriate goals, tips, and interventions for the chosen topic related to safety and quality. A sufficient rationale is relayed to the reader which is supported with scholarly data/in-text citations. Writer provides an adequate discussion of benefits and limitations.
35 points Includes appropriate goals and or interventions for related topic. Rationale could be better developed to give substantiate selected intervention/goal. Or there is limited amount of discussion on benefits and limitation of the intervention.
26 points Identified goal/intervention is not appropriate for the identified area, unit, or patient population. Or there is no scholarly information to support use of intervention/goal.
15 points Summary lacks organization and is missing rationale as to why the intervention is appropriate, and or benefits and limitations are not discussed.
10 points
Length of Presentation
At least 10 minutes with substantially all material covered.
5 points 7-10 minutes with most of the topic appropriately covered.
4 points At least 5 minutes incomplete coverage of the topic.
3 points Less than 5 minutes topic not covered.
2 points
Organization/Sources
Spelling and Grammar
Summary must include at least two scholarly articles (health care related) written within 5 years.
No misspellings or grammatical errors. Summary follows APA formatting guidelines. See APA rubric.
10 points Summary has 1-2 misspellings, but no grammatical errors. Summary follows APA formatting guidelines. See APA rubric.
8 points Summary has 1-2 grammatical errors but no misspellings. Summary minimally follows APA formatting guidelines. Has one scholarly article. See APA rubric.
4 points Summary has more than 2 grammatical and/or spelling errors. Does not adhere to APA formatting guidelines. See APA rubric. Does not include a scholarly article.
2 points
Professionalism
Verbiage is appropriate for audience. Presentation is organized and engaging
Demeanor and attire are professional.
5 points Verbiage is appropriate for audience. Presentation lacks some organization but audience is engaged. Demeanor and attire are professional.
4 points . Verbiage is inappropriate for audience. Presentation lacks organization and the audience is not engaged. Demeanor and attire are professional.
3 points Verbiage is inappropriate for audience. Presentation is not organized and the audience is not engaged. Demeanor and attire are not professional.
2 point