NURS 8300:Week 9: The Application of Quality Improvement Models in Organizations and Systems Essay Assignment Paper

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 NURS 8300:Week 9: The Application of Quality Improvement Models in Organizations and Systems Essay Assignment Paper

NURS 8300: Organizational and Systems Leadership for Quality Improvement | Week 9

Wrong-side surgeries, hospital acquired infections, medication errors, and wrongful deaths-these sorts of medical mistakes often make headline news. How can these types of errors be prevented? Throughout this course, you have been examining methods for systematically improving the quality of care and patient safety within a health care organization. Another tool that can be used to evaluate medical and system errors is a root cause analysis.

This week, you explore root cause analysis, which is one of the key methods used in health care organizations to understand and address patient safety situations.

Learning Objectives

By the end of this week, you will be able to:

• Apply qualitative and quantitative methods to identify root causes of a specific quality improvement need
• Evaluate adverse events or factors that lead to a specific quality improvement need
• Formulate goals from collected data

 NURS 8300:Week 9: The Application of Quality Improvement Models in Organizations and Systems Essay Assignment Paper

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

• Chapter 20: “How Purchasers Select and Pay for Value: the Movement to Value Based Purchasing”

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

A health care organization reduced their errors of labeling the wrong blood specimens when it implemented barcode scanners and computers to create labels. The study within this article gives an overview of this process and its results.

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.

The authors of this article propose that qualitative and quantitative research cannot be presented together without a conceptual framework. They develop a conceptual framework that can unite the qualitative and quantitative data that health care professionals and organizations can use.

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

Within this article, the authors question the effectiveness of Root Cause Analysis (RCA), which they describe as originally a learning technique that has taken on the role of a monitoring tool. They propose that a better understanding of RCA and a possible revision could increase patient safety within health care organizations.

Optional Resources

Smith, M. L., & Erwin, J. A. (2011). Final solution via root cause analysis (with a template). iSixSigma. Retrieved from http://www.isixsigma.com/tools-templates/cause-effect/final-solution-root-cause-analysis-template/

 NURS 8300:Week 9: The Application of Quality Improvement Models in Organizations and Systems Essay Assignment Paper

Discussion: Root Cause Analysis

Note: Weeks 8 and 9 are linked together in an assignment that is completed within your group. Each group will receive the same grade for the final PowerPoint submission at the end of Week 9. Each individual will receive a unique grade in Weeks 8 and 9 which is based on your individual contribution to the small group discussion boards as well as your participation in the final Week 9 discussion as well as the slides that you contribute to the PowerPoint.

Root cause analysis (RCA) is a standard tool used to help health care organizations learn from errors, particularly those that result in harm. RCA is applied to address three key questions about a particular situation:

• What happened?
• Why did it happen?
• What can be done to prevent it from happening again?

To prepare for and complete this Discussion:

As a case study team, prepare a 10 slide power-point using tools provided in this case study to present your rationale and validation of the root causes your team has chosen. Be sure to include at least 4 peer reviewed research studies which evoke validation of the latest patient safety evidence in support of your root cause findings. Also address the extent to which this scenario evokes implication for value based purchasing.

To prepare for Week 9:

Continue your small group dialogue in dissecting the case study.

By Day 3

A designated team member will post the team powerpoint and key insights that your team has gained about your choices, this type of sentinel event, and use of root cause analysis in Week 9 discussion board.

By Day 7

Each student will respond to at least two other group PowerPoints and analysis.

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