Essay Instructions: The Application of Quality Improvement Models in Organizations and Systems, Part I Analysis
Required Resources
Readings
Course Text: Applying Quality Management in HealthCare: A Systems Approach
Review Chapter 9, "Improving Processes and Implementing Improvements"
Chapter 10, "Measuring Process and System Performance"
Article: Brown, J. E., Smith, N., & Sherfy, B. R. (2011). Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Journal of Nursing Care Quality, 26(1), 13-21. doi:10.1097/NCQ.0b013e3181e4e6dd
Article: Carroll, L. J., & Rothe, J. P. (2010). Levels of reconstruction as complementarity in mixed methods research: a social theory-based conceptual framework for integrating qualitative and quantitative research. International Journal of Environmental Research and Public Health, 7(9), 3478-3488.
Article: Cooper, M. R., Duquette, C. E., McWilliams, T., Orsini, M., & Klein, A. A. (2009). The unintended consequences of being friendly: A case study. Journal for Healthcare Quality: Promoting Excellence in Healthcare, 31(5), 43?47.
Article: Nicolini, D., Waring, J., & Mengis, J. (2011). Policy and practice in the use of root cause analysis to investigate clinical adverse events: Mind the gap. Social Science & Medicine, 73(2), 217?225. doi:10.1016/j.socscimed.2011.05.010
Article: Siriwardena, A. N. (2009). Using quality improvement methods for evaluating health care. Quality in Primary Care, 17(3), 155-159.
Website: American Society of Quality. (n.d.). Quality Tools. Retrieved from http://asq.org/learn-about-quality/quality-tools.html
Website: National Committee for Quality Assurance. (2011). Healthcare effectiveness data and information set (HEDIS). Retrieved from http://www.ncqa.org/tabid/59/default.aspx
Optional Resources are listed in the Week 9 Learning Resources.
TOPIC: ROOT CAUSE ANALYSIS
Post a cohesive response that addresses the following:
1. Examine the steps for conducting a root cause analysis presented in the Nicolini, Waring, and Mengis article. This article will serve as a foundation for the Discussion. If you were conducting a root cause analysis in a health care organization with the actual individuals involved, you would be able to use these steps more fully. For this assignment, you will use these steps as a jumping off point for discussion and analysis.
2. As a team, discuss each step in the root cause analysis process in relation to the "The Unintended Consequences of Being Friendly: A Case Study" article presented in the Learning Resources. The following are a few questions to help guide your Discussion.
3. What qualitative and quantitative information would help you address each step in the analysis? Identify as much information as you can for each step in the root cause analysis process. For instance, what indicators from the case study should be included as facts?
4. If certain information is not provided in the case study, how would you, as a team, proceed to gather data?
5. Who should participate in this analysis? Which roles or which specific individuals should be invited to participate?
6. What questions or considerations would help to guide your investigation?
7. summarize key insights that your team has gained about your selected scenario, this type of sentinel event, and use of root cause analysis.
sentinal event or selected scenario that my team will like to discuss in the root cause analysis is either FECAL IMPACTION OR DEHYDRATION IN THE ELDERLY PATIENTS LIVING IN LONG TEAM CARE FACILITIES or if the writer have a good one does okay with me too.
