Assessment 3: Data Analysis and Quality Improvement Initiative Proposal

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Student Name

Capella University

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Course Name

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Prof Name

Feb 26, 2024

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Introduction
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Greetings, I am Norma, a Registered Nurse at Valley Hospital. I warmly welcome
all attendees to this presentation on the Proposal for Data Analysis and Quality
Improvement Initiatives. Today's focus is on developing a Quality Improvement
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Initiative Proposal (QIIP) based on an analysis of our hospital's dashboard

metrics. The primary objective is to identify and address specific health issues,
with a particular emphasis on Medication Adverse Events.
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The urgency for this assessment and QIIP arises from the core objective of
providing high-quality care treatments at our hospital. Neglecting to enhance
quality across all healthcare departments may jeopardize patient care, leading to
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severe complications and mortality. Therefore, this presentation zooms in on a

QIIP tailored to the unique health issues identified through our hospital's
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dashboard data analysis.

Dashboard Metrics and Quality Improvement

Healthcare organizations worldwide utilize quality dashboards, including

performance indicators and data quality, to offer metrics and analytics. These
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tools assist clinical teams and managers in monitoring care quality and devising
improvement strategies.

Dashboard Data Analysis and Healthcare Issue

To lay the groundwork for the QIIP, Valley Hospital's quality management
department furnished data derived from patient health reports. Adhering to
HIPAA Act standards for patient information protection, dashboard metrics were
examined, revealing concerns such as low patient satisfaction (40%), medication

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errors (30/100 patients), and 10 patient fatalities attributed to these errors.
Medication errors emerged as a critical issue affecting patient safety and
readmission rates.

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Selected Quality Improvement Initiative Proposal

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With adverse medication events identified as a pressing healthcare issue, we
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propose implementing the Six Sigma DMAIC model at Valley Hospital. This
model encompasses the Define, Measure, Analyze, Improve, and Control steps.
Areas targeted for improvement include nursing practices, prescribing, and
dispensing of medication. The DMAIC model offers a structured approach to
enhance all dashboard metrics.
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Evidence-Based Strategies

Evidence-based strategies to mitigate medication-associated events comprise

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computerized provider order entry, involvement of clinical pharmacists,

adherence to the "Five Rights" of medication administration, and integration of
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technologies like Barcode medication administration. The absence of specific

information on the types of medication errors presents a knowledge gap that
could strengthen the proposal.
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Inter-professional Perspectives and Required Actions

Effective patient care hinges on inter-professional collaboration. The Valley

Hospital team, comprising administrators, physicians, nurses, pharmacists, and
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IT professionals, is dedicated to enhancing patient safety. Actions entail
communication through guidelines, pharmacist involvement in clinical settings,
collaborative medication reviews, and educational workshops.

Effective Collaboration Strategies

Fostering inter-professional care demands effective collaboration strategies.

These encompass delineating roles, instilling values and ethics, and employing
communication tools to bolster collaboration and communication among team

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members.

Conclusion

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In summary, adverse medication events identified through dashboard metrics

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necessitate a QIIP at Valley Hospital. The DMAIC model, complemented by
evidence-based strategies and inter-professional collaboration, aims to bolster
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patient safety and overall healthcare quality. The success of these initiatives
hinges on effective collaboration, communication, and a shared commitment to
enhancing patient outcomes. If you have any inquiries, please don't hesitate to
ask. Thank you.
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Randell, R., Alvarado, N., McVey, L., Ruddle, R. A., Doherty, P., Gale, C., Mamas, M., &
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