Quality Improvement Paper
1. Introduction
Introduction paragraph (one paragraph).
Introduce a practice issue appropriate for a quality improvement project facilitated by a MSN or DNP prepared nurse. There must be a thesis statement at the end of the paragraph that tells the reader the purpose of paper and what will be discussed.
2. AHRQ Implementation Tool Kit
Review the AHRQ tool kit for the implementation of quality improvement and patient safety projects found at: https://www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.htmlLinksLinks to an external site.
Links to an external site. to an external site.
Describe the purpose of the AHRQ implementation tool kit.
What role with interprofessional collaboration have in the project?
3. Problem, Aim and Review of the Literature
Based on the Organizational Analysis (OA) paper that you previously submitted this semester, use the same facility for this paper.
Use a concern that you identified from your analysis from the Hospital Compare website or a similar source; select a single area that needs improvement.
1. Quantify (measure) the practice concern for the facility that you selected for the Organizational Analysis paper based on your assessment. State the problem in a single concise measurable problem statement. For example: In XX facility, the rate for XX is XX% higher than the national benchmarks.
2. State a measurable aim statement based on the problem statement. For example:
The aim for this quality improvement project is to reduce XXX by XX% over XX months.
Review the literature for the identified concern, what has been an effective approach for other facilities?
Note: Do not describe the intervention in this section. The next steps will focus solely on the problem.
4. How to assess readiness for change
Assume you are doing this project in the facility that you reviewed in the prior OA paper. How will you assess the facilities readiness to change? What change theory would you use to plan your work?
5. Quality Improvement Tool
What steps will you take to understand the problem? Identify the quality improvement tool you will use (e.g. Root Cause Analysis, Fishbone cause and effect diagram, FMEA, etc.) Describe how you will complete an assessment of the problem in the organization.
6. Quality Improvement Model and Tool kit or Bundle
Select a model (e.g., PDSA, FADE, Six Sigma, TCAB, TeamSTEPPs) for the quality improvement project. Describe the model and summarize the practice improvement initiative/intervention(s) using the steps of the model. This is the point in the paper where you describe the evidence-based intervention (with citation) based on the problem, background and investigation of the concern.
The proposed intervention must be an approved set of interventions (tools) from the AHRQ or another professional organization. Describe the toolkit you will be implementing within the structure of the quality improvement model.
There are multiple toolkits or bundles available from AHRQ and other professional resources. Choose the toolkit/bundle or structured intervention that you will plan to implement and discuss the steps for implementing the toolkit/bundle/intervention. Use appendices if needed to support your discussion.
Examples of AHRQ toolkits
Examples of toolkits:
https://www.ahrq.gov/hai/tools/clabsi-cauti-icu/index.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/abate/index.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/patient-safety/resources/diagnostic-safety/toolkit.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/surgery/index.htmlLinksLinks to an external site.
Links to an external site. to an external site.
Examples of IHI bundles:
See IHI tool kits
7. Quality Improvement Budget
Are there costs associated with implementing the planned intervention? Describe and estimate the costs and any savings.
8. Measuring the work
Based on Donabedian’s work, identify and describe
1 point (a) the structure measures,
1 point (b) the process measures, and
1 point (c) the outcomes measures for the quality improvement intervention(s) for this project.
1 point What qualitative and quantitative measures will be identified to determine effectiveness of quality initiative?
1 point How would qualitative findings contribute to the project plan?
9. Quality Improvement Visual Display
Identify and briefly describe at least two visual displays for reporting outcome data for your selected practice issue (e.g. histogram, run chart, pie chart, bar graph, etc.).
10. Conclusion
Conclusions: Summarize the essential points of paper (one paragraph).
Paper Guidelines & What Must Be Included:
Demonstrate Graduate Level Scholarship.
1. Formal, scholarly writing style; no first-
person language.
2. Writing should be clear and concise.
3. Organize work by headings.
4. Writing should be free of APA errors.
5. Full paper (except reference page, appendices, and
attachments) submitted to Turnitin, with minimal similarity.
6. CON approved format for a title page, running head, introduction, and page numbers.
7. Paper to include a minimum of 10 peer- reviewed or scholarly
references.
8. Citations and references follow APA
format.
9. Writing should be free of grammatical and
spelling errors.
10. Paper not to exceed six (6) to seven (7) pages
(excluding title page, reference page, and any appendices).
Quality Improvement Model and Tool kit or Bundle
1. A model (e.g., PDSA, FADE, Six Sigma, TCAB, TeamSTEPPs) for the quality improvement project. Describe the model and summarize the practice improvement initiative/intervention(s) using the steps of the model. This is the point in the paper where you describe the evidence-based intervention (with citation) based on the problem, background and investigation of the concern.
The proposed intervention must be an approved set of interventions (tools) from the AHRQ or another professional organization. Describe the toolkit you will be implementing within the structure of the quality improvement model.
There are multiple toolkits or bundles available from AHRQ and other professional resources. Choose the toolkit/bundle or structured intervention that you will plan to implement and discuss the steps for implementing the toolkit/bundle/intervention. Use appendices if needed to support your discussion.
Examples of AHRQ toolkits
Examples of toolkits:
https://www.ahrq.gov/hai/tools/clabsi-cauti-icu/index.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/abate/index.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/patient-safety/resources/diagnostic-safety/toolkit.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.htmlLinksLinks to an external site.
2.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.htmlLinksLinks to an external site.
Links to an external site. to an external site.
https://www.ahrq.gov/hai/tools/surgery/index.htmlLinksLinks to an external site.
https://www.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
Links to an external site. to an external site.
Examples of IHI bundles:
See IHI tool kits
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