Norwich NR533 Complete Course Latest 2021 April (Full)

NR533 Quality Improvement and Patient Safety

Week 1 Discussion

Transparent Health: Lewis Blackman Story

In this first of four discussion boards, you will watch the video titled, “Transparent Health – Lewis Blackman Story. In this video, two issues in health care will be addressed: (1) prevention of medical errors and (2) how we the care givers respond when our care has caused harm to one of our patients.

Solidlinemedia. (23014, April). The Lewis Blackman story. Youtube.com. (1 hour)

Questions:

After viewing this video, you and your nurse colleagues are to discuss the following:

How did the health care system fail Lewis and his family?

What can we, as nurse leaders, learn from the Lewis Blackman Story?

As a health care leader, describe strategies/approaches to effectively address medical errors as described in this story about Lewis Blackman, e.g. teamwork and communication.

You must reply with your initial forum post (using APA Style Guide as needed) before you will see any other students work. For participation and grading details refer to the MSN Grading Guidelines and Rubrics and to the Syllabus for point value of discussions.

All discussions open on Monday and the first post is due by Wednesday, 11:55 PM Eastern Time. Discussions close on the following Monday at 6 AM Eastern Time until the final week. The discussion in the final week closes at 11:55 PM Eastern Time on Sunday (if applicable)

Your “Activity Completion” box will be marked when this discussion is graded. This only indicates that you have received a grade: Please check your gradebook for actual grade.

 

NR533 Quality Improvement and Patient Safety

Week 5 Discussion

Quality Improvement Processes and Approaches, and Quality Tools

The purpose of this discussion board is to provide you and your nurse colleagues with an opportunity to discuss quality improvement processes and approaches, and quality tools.

Questions:

Respond to the following questions.

What is the difference between a quality improvement system and a quality improvement tool? Explain.

Select and compare three of quality tools. What are some of the key similarities and differences among the selected quality tools?

How will you select one of the quality improvement processes and approaches, and implement one or more of the quality tools as described in last week’s presentation for your QI project?

You must reply with your initial forum post (using APA Style Guide as needed) before you will see any other students work. For participation and grading details refer to the MSN Grading Guidelines and Rubrics and to the Syllabus for point value of discussions.

All discussions open on Monday and the first post is due by Wednesday, 11:55 PM Eastern Time. Discussions close on the following Monday at 6 AM Eastern Time until the final week. The discussion in the final week closes at 11:55 PM Eastern Time on Sunday (if applicable)

Your “Activity Completion” box will be marked when this discussion is graded. This only indicates that you have received a grade: Please check your gradebook for actual grade.

 

NR533 Quality Improvement and Patient Safety

Week 7 Discussion

Just Culture: Reporting and Investigating

Question:

The purpose of this discussion board is to provide you and your nurse colleagues with an opportunity to reflect and then discuss with each other:

How to make the reporting of events easy?

How to improve investigating events?

How to encourage reporting for safety?

Use the following four questions to guide the discussion on just culture: reporting and investigating.

How are the people in your healthcare organization treated following an event involving an honest mistake?

How can we, as nurse leaders, ensure people are supported when things go wrong?

How easy is it to report events that compromise safety in your organization?

As nurse leaders, how can we make the reporting of events simple and easy for people?

How well are safety occurrences investigated in your organization?

How can safety investigations be improved?

Does reporting safety occurrences improve safety?

How can nurse leaders ensure the reporting of events make a difference and encourage people to report?

You must reply with your initial forum post (using APA Style Guide as needed) before you will see any other students work. For participation and grading details refer to the MSN Grading Guidelines and Rubrics and to the Syllabus for point value of discussions.

All discussions open on Monday and the first post is due by Wednesday, 11:55 PM Eastern Time. Discussions close on the following Monday at 6 AM Eastern Time until the final week. The discussion in the final week closes at 11:55 PM Eastern Time on Sunday (if applicable) Your “Activity Completion” box will be marked when this discussion is graded. This only indicates that you have received a grade: Please check your gradebook for actual grade.

NR533 Quality Improvement and Patient Safety

Week 9 Discussion

Creating and Sustaining a Culture of Safety

As a follow-up to completing the Self-Assessment Tool, you and your nurse colleagues will share the results of the self-assesment of your respective health care organization by responding to the following questions.

Reviewing the total scores for each category, which two categories received the highest scores and which two categories received the lowest scores?

What are some of the factors that contributed to the category(ies) receiving the highest score(s)?

Based on the results of the Self-Assessment Tool: Culture of Safety Organizational Self-Assessment, what are the challenges of creating and sustaining a culture of safety in your healthcare organization? What are the three priorities moving forward?

You must reply with your initial forum post (using APA Style Guide as needed) before you will see any other students work. For participation and grading details refer to the MSN Grading Guidelines and Rubrics and to the Syllabus for point value of discussions.

All discussions open on Monday and the first post is due by Wednesday, 11:55 PM Eastern Time. Discussions close on the following Monday at 6 AM Eastern Time until the final week. The discussion in the final week closes at 11:55 PM Eastern Time on Sunday (if applicable)

Your “Activity Completion” box will be marked when this discussion is graded. This only indicates that you have received a grade: Please check your gradebook for actual grade.

 

NR533 Quality Improvement and Patient Safety

Week 3 Assignment  

Problem, Aim Statement and Project Objectives

Instructions:

For this assignment, you will use the “Worksheet for Developing Your Quality Improvement Project” (PDF). to help you develop the problem, aim statement, and project objectives for your quality improvement project. Use the assignment’s guidelines as listed below to complete this assignment.

Students will create sections on:

Problem Statement

Define the nature and significance of the local problem, and the focus of your proposed QI project.

Describe the local context:

type and size of organization

details about the staff members

brief description of patient population.

Aim Statement

Time-specific and measurable; it should also define the specific population that will be affected (ihi.org, 2017).

Use the S.M.A.R.T. criteria:

Specific

Measurable

Achievable

Realistic/Relevant

Timely

Project Objectives

(what do you expect your project to accomplish)

Use the S.M.A.R.T. criteria to write each objective.

Reference:

John Hopkins Medical. (n.d.) Worksheet for Developing Your Quality Improvement Project. John Hopkins Medical School.

Refer to the Syllabus for point value of this assignment. Your Activity Completion checkbox will be marked when you ‘Submit for Grade’ into this dropbox. Check your gradebook for your grade.

 

NR533 Quality Improvement and Patient Safety

Week 6 Assignment  

Failure modes and effects analysis (FMEA)

Purpose:

This assignment provides students with the opportunity to identify a high-risk process in the practice setting and then conduct a failure modes and effects analysis (FMEA).

The FMEA is a systematic, proactive approach to assess risk of failure and harm in a high-risk process, and identify areas for process improvement.

Criteria	Item Description
Title	Title indicates a high-risk process for a FMEA.
High-Risk Process	Describe in a single paragraph the high-risk process and rationale for selecting the process.
Process Map/Flowchart	Create a process map or flowchart to describe the steps in the high-risk process. Recommend a PowerPoint slide to depict the steps in the selected process.
FMEA Table	Use the FMEA Table as displayed in Figure 1 at the end of Week 5 lesson. A copy of the table is also available in an Excel Spreadsheet. Steps in the process Failure modes, failure causes, and failure effects Likelihood of Occurrence (1-10) Likelihood of Detection (1-10) Severity (1-10) Risk Profile Number (RPN) Actions to Reduce Occurrence of Failure

 

Instructions:

Use the MS Excel table FMEA for High Risk Process to fill out your failure and effect analysis according to the IHI lesson.

Attach your Excel table below and ‘submit for grade’.

 

NR533 Quality Improvement and Patient Safety

Week 10 Assignment  

Quality improvement project (written paper)

Purpose:

This assignment provides students with the opportunity to design, develop, implement and evaluate a quality improvement project in their practice setting. The Model for Improvement is used for improvement and to test change(s) using Plan-Do-Study-Act (PDSA) cycle on a small scale. See the criteria below for full descriptions.

Instructions:

Write a Quality Improvement Paper using the criteria below and following APA Guidelines of 10-15 pages (excluding title and references).

Attach paper below and Submit for Grade.

Criteria	Item Description
Title	Title indicates an initiative to improve healthcare.
Problem	Define the nature and significance of the local problem, and the focus of your proposed QI project. Describe the local context: type and size of organization details about the staff members brief description of patient population.
Aim Statement	Time-specific and measurable; it should also define the specific population that will be affected (ihi.org, 2017). Use the S.M.A.R.T. criteria: Specific Measurable Achievable Realistic/Relevant Timely
Project Objectives	Use the S.M.A.R.T. criteria to write each objective.
Background	Summarize and synthesize the literature. What is the existing evidence about why the problem exists? Is there evidence for what works and what does not work to solve the problem?
Design	Describe the change(s)/intervention(s) that you implemented to improve the quality of care.
Strategy Model for Improvement (MFI) Part 1: Three fundamental questions   Part 2: Plan-Do-Study-Act (PDSA) cycle	Explain the strategy for improvement and discuss how you implemented your improvement cycles. For Part 1: State and respond to the 3 fundamental questions from the MFI What are we trying to accomplish? How will we know that a change(s) is an improvement? What change(s) can we make that will result in improvement? For Part 2:   Use the PDSA cycle to conduct the rapid test(s) of change on a small scale (ihi.org, 2017) Each phase of the PDSA cycle must be described in sufficient detail so the reader can replicate the cycle.
Results	Provide a summary of the results using quality tools, e.g. run charts, control charts. Describe the variation in your data. Were the change(s)/intervention(s) responsible for improvements? Compare your results to your baseline data (measurement). Comment on how you assessed whether the data was complete and accurate. Was there any missing data? Please comment on whether there any unintended consequences such as unexpected benefits, problems, failures or costs with the change(s)/intervention(s).
Conclusion	Reflect on the background knowledge including research, noting what is already known on this topic and what your project adds. Refer to aim statement; did your project achieve its purpose/aim? Was it a useful project? Were your measures appropriate and did you use balancing measures?   Give an assessment of whether you think your project is sustainable and spread?

 

Refer to the Syllabus for point value of this assignment. Your Activity Completion checkbox will be marked when you submit to this dropbox, remember to check your gradebook for your grade.

 

NR533 Quality Improvement and Patient Safety

Week 11 Assignment  

Quality improvement project (oral presentation)

Based on your written quality improvement project, create an oral presentation of your project to your nurse colleagues. The presentation should be 5 to 7 minutes in length. Refer to the outline topic descriptions from your “Quality Improvement project (written paper)” for possible outline of your presentation.

Directions:

To begin: See instructions on How To Record a Video Discussion. These instructions are for making a video and posting to a discussion forum: But for this assignment, once your have recorded your presentation you will paste the link into the assignment dropbox.

Copy/paste the link for your up to 7 minute video presentation of your quality improvement project in the “online text” box below.

Click “Submit for grade”.

The regular upload box is available if you need to upload notes or transcripts of your presentation but make sure your presentation link is pasted into the “online text” box.