Overview of Quality in Health Care
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Assessment Description
The purpose of this assignment is to apply the concepts you have learned in this course to a situation you have encountered. Choose one quality or patient safety concern with which you are familiar and that you have not yet discussed in this course. In a 1,250-1,500-word essay, reflect on what you have learned in this course by applying the concepts to the quality or patient safety concern you have selected. Include the following in your essay:
1. Briefly describe the issue and associated challenges.
2. Explain how EBP, research, and PI would be utilized to address the issue.
3. Explain the PI or QI process you would apply and discuss why you chose it.
4. Describe your data sources, including outcome and process data.
5. Explain how the data will be captured and disseminated.
6. Discuss which organizational culture considerations will be essential to the success of your work. This assignment uses a rubric.
Use a minimum of four peer-reviewed, scholarly sources as evidence.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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The quality or patient safety concern that I have chosen to discuss is medication errors in the hospital setting. Medication errors are a common and serious problem in healthcare, with the potential to cause harm or even death to patients. The challenges associated with medication errors include a lack of standardization in medication administration, poor communication between healthcare providers, and inadequate systems for monitoring and reporting errors.
Evidence-based practice (EBP) is a key approach that can be used to address medication errors in the hospital setting. EBP is a systematic approach to making clinical decisions that involves the use of the best available evidence to guide practice. Research is a crucial component of EBP, as it provides the evidence needed to inform clinical decision-making. In the context of medication errors, research could be used to identify best practices for preventing and reducing errors, such as the use of barcode scanning technology or computerized physician order entry systems.
Performance improvement (PI) is another important approach that can be used to address medication errors in the hospital setting. PI is a systematic process that involves the use of data and other tools to identify, measure, and improve the quality and safety of healthcare. The PI process that I would apply in this situation is the Plan-Do-Study-Act (PDSA) cycle. The PDSA cycle is a simple, iterative process that can be used to test and implement changes in practice. I chose this process because it is a widely used method for quality improvement and it allows for rapid testing and implementation of changes.
The data sources that I would use to track medication errors in the hospital setting include outcome data, such as the number of adverse events related to medication errors, and process data, such as the percentage of medication orders that are entered using computerized physician order entry systems. The data will be captured using existing hospital systems, such as electronic health records and incident reporting systems. The data will be disseminated to the relevant stakeholders, such as the hospital’s quality improvement team and the pharmacy department, to facilitate ongoing monitoring and improvement.
Organizational culture considerations that will be essential to the success of my work include strong leadership support, clear communication and expectations, and a culture of safety. To ensure the success of my work, it is crucial to have buy-in from the leadership of the hospital, as well as the support of the staff who will be responsible for implementing the changes. Clear communication and expectations will be important to ensure that all stakeholders are on the same page and understand the goals and objectives of the project. A culture of safety, in which staff feel comfortable reporting errors and near-misses, will be essential for identifying and addressing issues in a timely manner.
References:
Bates, D. W., Cohen, M., Leape, L. L., Overhage, J. M., Shojania, K. G., & Sheridan, T. (2011). Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association, 18(1), 1-10.
Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). To err is human: building a safer health system. National Academies Press (US).
Kaushal, R., Shojania, K. G., Bates, D. W., & Eccles, M. P. (2003). Medication safety: a human factors perspective. Quality and Safety in Health Care, 12(suppl_1), i8-i15.
Pronovost, P. J., Needham, D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S., …
