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here are multiple ways to address change when considering a quality improvement (QI) initiative. Change models, theories, and QI tools provide foundational elements to develop QI initiatives. The failure mode and effects analysis (FMEA), plan-do-study-act (PDSA), and root cause analysis (RCA) are three of the more commonly used QI tools. A nurse who understands these various QI components is able to choose the right ones to impact a QI concern. This activity will allow you to explore potential QI scenarios and foster your ability to apply an appropriate QI tool and a change theory or model to a specific scenario. This assignment supports the skills of assessing and analyzing elements that impact the development of a QI initiative
Date Posted: 13/01/2025
Category: Health Care
Due Date: 17/01/2025
Willing to Pay: $25.00
Instruction
Scenarios The following scenarios represent real-life examples of quality improvement tools (FMEA, PDSA, and RCA). You will select one scenario related to each quality improvement tool (FMEA, PDSA, and RCA) to complete this assignment. FMEA Scenario A: The medication administration process in the pediatric office where you work has become quite cumbersome with the addition of two new pediatricians. Additionally, the office recently added vaccine administration for pediatric patients. However, some parents took their children to the health department for vaccine administration. Staff are looking for ways to reduce the risk of administering the wrong medication. Scenario B: During a recent hospital merger, the birthing services of two hospitals were combined and located at one hospital. While the risk of infant abduction is statistically low, the newly formed hospital wants to ensure that the combined organizations have the safest environment possible for caring for newborns and limit the risk of infant abduction. PDSA Scenario A: In the skilled nursing faculty where you work, the incidence of pressure areas has increased. When you work on the weekends, you find that the preventative measures (heel boots, offloading pressure mattresses) are available but not frequently used. Scenario B: Patient satisfaction scores have remained unimproved related to patients who report that staff “always” explained about medicines before administering the medication. The nursing department believes they have a new process that will improve this patient satisfaction metric. RCA Scenario A A patient determined to be a fall risk was receiving care without any prevention strategies in place. The patient fell, suffered a subdural hematoma, and went to surgery for a craniotomy. Scenario B A patient underwent significant abdominal surgery and later was found to have a retained sponge in the abdominal cavity when they were readmitted with pain and sepsis. Directions From the Scenario list, choose one scenario for each QI tool (FMEA, PDSA, RCA). Use your chosen scenarios to complete the Module Two Activity Template, linked in the What to Submit section. Complete a comparison of QI tools using the details of your chosen scenarios. For each tool, identify a change theory that you feel best applies. You must cite at least two current scholarly sources. To be considered current, scholarly sources must have been published within the last five years. Specifically, you must address the following rubric criteria: Part One: FMEA QI Tool: Describe the FMEA QI tool associated with your chosen scenario. Consider the following in the response: The unique characteristics of the QI tool Situations for application of the QI tool The steps that may be included as part of the QI tool Purpose: Explain the purpose of the FMEA QI tool as it relates to your chosen scenario. Include the following in the response: A rationalization for the appropriateness of the QI tool to your chosen scenario Key connections between the scenario and the QI tool Change Theory: Discuss a change theory that would apply to your chosen FMEA scenario. Include the following in the response: A brief description of your chosen change theory Fundamental connections between the change theory and the scenario Part Two: PDSA QI Tool: Describe the PDSA QI tool associated with your chosen scenario. Consider the following in the response: The unique characteristics of the QI tool Situations for application of the QI tool The steps that may be included as part of the QI tool Purpose: Explain the purpose of the PDSA QI tool as it relates to your chosen scenario. Include the following in the response: A rationalization for the appropriateness of the QI tool to your chosen scenario Key connections between the scenario and the QI tool Change Theory: Discuss a change theory that would apply to your chosen PDSA scenario. Include the following in the response: A brief description of your chosen change theory Fundamental connections between the change theory and the scenario Part Three: RCA QI Tool: Describe the RCA QI tool associated with your chosen scenario. Consider the following in the response: The unique characteristics of the QI tool Situations for application of the QI tool The steps that may be included as part of the QI tool Purpose: Explain the purpose of the RCA QI tool as it relates to your chosen scenario. Include the following in the response: A rationalization for the appropriateness of the QI tool to your chosen scenario Key connections between the scenario and the QI tool Change Theory: Discuss a change theory that would apply to your chosen RCA scenario. Include the following in the response: A brief description of your chosen change theory Fundamental connections between the change theory and the scenario What to Submit Submit your completed Module Two Activity Template. Your submission should be a 2- to 3-page Word document with a separate reference page that is not part of the page count. Follow APA Style standards for formatting and citing your sources.
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