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Assessment 3: Data Analysis and Quality Improvement Initiative Proposal

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Student Name

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Capella University

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Course Name
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Nov 8, 2023
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Introduction
Greetings, I am Norma, a Registered Nurse at Valley Hospital. I extend a warm welcome to all
attendees for this presentation on the Proposal for Data Analysis and Quality Improvement
Initiatives. Today's focus is on formulating a Quality Improvement Initiative Proposal (QIIP)
based on an analysis of our hospital's dashboard metrics. The objective is to identify and
address specific health issues, with a primary emphasis on Medication Adverse Events.

The imperative for this assessment and QIIP stems from the fundamental goal of delivering

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high-quality care treatments at every hospital. Neglecting to enhance the quality across all
healthcare departments may compromise patient care, leading to severe complications and
mortality. Thus, this presentation zeroes in on a QIIP tailored to the unique health issues

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identified through our hospital's dashboard data analysis.

Dashboard Metrics and Quality Improvement

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Healthcare organizations globally employ quality dashboards, such as performance indicators

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and data quality, to provide metrics and analytics. These tools aid clinical teams and managers
in tracking care quality and planning improvement strategies (Randell et al., 2020; Salgado et
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al., 2022).
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Dashboard Data Analysis and Healthcare Issue
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To lay the groundwork for the QIIP, Valley Hospital's quality management department provided
data obtained from patient health reports. Adhering to HIPAA Act standards for patient
information protection, dashboard metrics were scrutinized, revealing issues like low patient
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satisfaction (40%), medication errors (30/100 patients), and 10 patient fatalities due to these
errors (Randell et al., 2020). Medication errors emerged as a critical concern, impacting patient
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safety and readmission rates.


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Selected Quality Improvement Initiative Proposal


Identifying adverse medication events as a pressing healthcare issue, we propose implementing
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the Six Sigma DMAIC model at Valley Hospital. This model comprises the Define, Measure,
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Analyze, Improve, and Control steps (Ahmed, 2019). Target areas for improvement include
nursing practices, prescribing, and dispensing of medication. The DMAIC model offers a
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structured approach to enhance all dashboard metrics.

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Evidence-Based Strategies
Evidence-based strategies to reduce medication-associated events include computerized
provider order entry, involving clinical pharmacists, employing the "Five Rights" of medication
administration, and incorporating technologies like Barcode medication administration (Agency
for Healthcare Research and Quality, 2019). The lack of specific information on the types of
medication errors is a knowledge gap that could enhance the proposal.

Inter-professional Perspectives and Needed Actions

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Effective patient care necessitates inter-professional collaboration. The team at Valley Hospital,
comprising administrators, physicians, nurses, pharmacists, and IT professionals, is committed

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to improving patient safety. Actions include communication through guidelines, pharmacist
participation in a clinical setting, collaborative medication reviews, and educational workshops

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(Manias, 2018; Irajpour et al., 2019).

Effective Collaboration Strategies

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Promoting inter-professional care requires effective collaboration strategies. These include
clarifying roles, inculcating values and ethics, and utilizing communication tools to enhance
collaboration and communication among team members (White-Williams & Shirey, 2021;
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McLaney et al., 2022; De Las Heras-Pedrosa et al., 2020).
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Conclusion
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In conclusion, adverse medication events identified through dashboard metrics necessitate a


QIIP at Valley Hospital. The DMAIC model, supported by evidence-based strategies and
inter-professional collaboration, aims to enhance patient safety and overall healthcare quality.
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The success of these initiatives relies on effective collaboration, communication, and a shared
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commitment to improving patient outcomes. If you have any questions, please feel free to ask.
Thank you.
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References
Ahmed, S. (2019). Integrating the DMAIC approach of Lean Six Sigma and theory of constraints
toward quality improvement in healthcare. Reviews on Environmental Health, 34(4), 427–434.
https://doi.org/10.1515/reveh-2019-0003

Agency for Healthcare Research and Quality. (2019, September 7). Medication errors and
adverse drug events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

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De Las Heras-Pedrosa, C., Rando-Cueto, D., Jambrino-Maldonado, C., & Paniagua-Rojano, F.
J. (2020). Analysis and study of hospital communication via social media from the patient
perspective. Cogent Social Sciences, 6(1). https://doi.org/10.1080/23311886.2020.1718578

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Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of inter-professional education
of medication safety program on the medication error of physicians and nurses in the intensive

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care units. Journal of Education and Health Promotion, 8(196).
https://doi.org/10.4103/jehp.jehp_200_19

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Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: an
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integrative review. ResearchGate, 17(3).
https://www.researchgate.net/publication/322284148_Effects_of_interdisciplinary_collaboration_
in_hospitals_on_medication_errors_an_integrative_review
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McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A
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framework for interprofessional team collaboration in a hospital setting: Advancing team


competencies and behaviors. Healthcare Management Forum, 35(2).
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https://doi.org/10.1177/08404704211063584

Randell, R., Alvarado, N., McVey, L., Ruddle, R. A., Doherty, P., Gale, C., Mamas, M., &
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Dowding, D. (2020). Requirements for a quality dashboard: Lessons from national clinical
audits. AMIA Annual Symposium Proceedings, 2019, 735–744.
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153077/

Salgado, M., Nogueira, P., Torres, A., & Oliveira, M. D. (2022). Setting requirements for a
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dashboard to inform Portuguese decision-makers about environmental health in an urban


setting. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.837433
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White-Williams, C., & Shirey, M. R. (2021). Taking an interprofessional collaborative practice to


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the next level: Strategies to promote high performing teams. Journal of Interprofessional
Education & Practice, 26, 100485. https://doi.org/10.1016/j.xjep.2021.100485

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