– 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. 1pt
-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.html
Describe the purpose of the AHRQ implementation tool kit.
What role will interprofessional collaboration have in the project? 2pts
—Problem Aim and Review of the Literature
Based on the Organizational Analysis (OA) paper that you previously submitted this
semester, use a concern that you identified from your analysis of 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 does the literature tell you
about the problem. Please note: a review of the literature is not one study, include
several studies to sum what is known about the problem.
Note: Do not describe the intervention in this section. Later steps will focus solely on the problem. 5 pts
—-How to assess readiness for change
Assume you are doing this project in the selected facility that you reviewed in the prior
OA paper. How will you assess the facilities readiness to change? Describe a readiness for
change tool that you might use. What change theory would you use to plan your work? 2pts
—-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. 2pts
—-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. 0
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.html
https://www.ahrq.gov/hai/tools/abate/index.html
https://www.ahrq.gov/patient-safety/resources/diagnostic-safety/toolkit.html
https://www.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
https://www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
https://www.ahrq.gov/hai/tools/surgery/index.html
Examples of IHI bundles:
See IHI tool kits. 4pts
——Quality Improvement Budget
Budget: Are there costs associated with implementing the planned intervention? Describe and estimate
the costs and any savings. Provide your best estimate for the the amounts you will need for expenses and
the amount you might have for savings. 1pt
——Measuring the work
Based on Donabedian’s work, identify and describe
.5 point (a) the structure measures,
.5 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? 4pts
—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.). You do not need to create the visual display, only describe what you would use and why it is a good choice. 1 pt
—-Conclusion
Conclusions: Summarize the essential points of paper (one paragraph). 0.5 pt
-Formal , scholarly writing style, no first person Language
– writing should be clear and concise
-organize work by heading
– writing should be free of APA errors
-minimum of 7 peer reviewed references
– Citation and references follow APA format
– writing should be free of grammatical and spelling errors.
– The Hospital is Albany medical Hospital.
– focus more on areas that carries more points.
