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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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Prof Name

Feb 26, 2024

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Introduction
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Greetings, I'm Norma, a Registered Nurse at Valley Hospital. Welcome, everyone, to

this presentation on the Proposal for Data Analysis and Quality Improvement Initiatives.
Today, we'll focus on formulating a Quality Improvement Initiative Proposal (QIIP) based
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on an analysis of our hospital's dashboard metrics. Our goal is to identify and address
specific health issues, primarily emphasizing Medication Adverse Events. Failing to
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enhance quality across all healthcare departments may compromise patient care,
leading to severe complications and mortality. Thus, this presentation zeros in on a QIIP
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tailored to the unique health issues identified through our hospital's dashboard data
analysis.
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Dashboard Metrics and Quality Improvement

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Healthcare organizations globally employ quality dashboards, such as performance

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indicators and data quality, to provide metrics and analytics. These tools aid clinical
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teams and managers in tracking care quality and planning improvement strategies
(Randell et al., 2020; Salgado et al., 2022).

Dashboard Data Analysis and Healthcare Issue

To lay the groundwork for the QIIP, Valley Hospital's quality management department
provided data from patient health reports. Adhering to HIPAA Act standards for patient
information protection, dashboard metrics were scrutinized, revealing issues like low
patient 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 safety and readmission rates.

Selected Quality Improvement Initiative Proposal

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Identifying adverse medication events as a pressing healthcare issue, we propose
implementing the Six Sigma DMAIC model at Valley Hospital. This model comprises the

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Define, Measure, Analyze, Improve, and Control steps (Ahmed, 2019). Target areas for
improvement include nursing practices, prescribing, and medication dispensing. The

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DMAIC model offers a structured approach to enhancing all dashboard metrics.

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

Effective patient care necessitates inter-professional collaboration. The team at Valley

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Hospital, comprising administrators, physicians, nurses, pharmacists, and IT

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professionals, is committed to improving patient safety. Actions include communication

through guidelines, pharmacist participation in a clinical setting, collaborative medication
reviews, and educational workshops (Manias, 2018; Irajpour et al., 2019).
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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; McLaney et al., 2022; De Las Heras-Pedrosa et al., 2020).

Conclusion

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. The success of these initiatives relies on effective
collaboration, communication, and a shared commitment to improving patient outcomes.

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If you have any questions, please feel free to ask. Thank you.

References

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Ahmed, S. (2019). Integrating the DMAIC approach of Lean Six Sigma and theory of
constraints toward quality improvement in healthcare. Reviews on Environmental

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Health, 34(4), 427–434. https://doi.org/10.1515/reveh-2019-0003

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

De Las Heras-Pedrosa, C., Rando-Cueto, D., Jambrino-Maldonado, C., &

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Paniagua-Rojano, F. J. (2020). Analysis and study of hospital communication via social

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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
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nurses in the intensive 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 integrative review. ResearchGate, 17(3).
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https://www.researchgate.net/publication/322284148_Effects_of_interdisciplinary_collab
oration_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 framework for interprofessional collaboration in a hospital setting: Advancing
team competencies and behaviors. Healthcare Management Forum, 35(2).
https://doi.org/10.1177/08404704211063584

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

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

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urban setting. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.837433

White-Williams, C., & Shirey, M. R. (2021). Taking an interprofessional collaborative

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practice to 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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