Reintroduce the identified gap in nursing care delivery quality or safety

· Review a selected scholarly journal article that recounts serious patient safety or adverse health events.

· Evaluate the potential risks to patient care quality, safety, public reporting, and financial impact to the organization related to these types of events.

· Analyze the process your selected healthcare organization uses to manage these types of events.

· Describe the DNP nurse’s role in supporting and promoting these processes, continuous improvement, and learning.

Assignment 1

To prepare:

· Review the Learning Resources regarding the implementation of quality improvement initiatives.

· Complete and analyze the Organizational Readiness for Implementing Change (ORIC) Tool (NIH, 2016).

The Assignment

Analyze evidence from literature and course materials, synthesize the information, and develop a 3-page scholarly response. Apply the following criteria:

· Reintroduce the identified gap in nursing care delivery quality or safety.

· Explain the rationale for practice or process change substantiate with evidence from the literature, organizational performance dashboard, scorecard, safety events, or other quality metrics.

· Analyze the completed Johns Hopkins Organizational Readiness Tool to determine if the selected organization is prepared for a change in quality improvement.

· Describe the current state of the organizational readiness for quality improvement.

· What support is present in the organization to support quality improvement, positive patient experiences, and promote health equity?

· Summarize two scholarly journal articles specific to culture of safety, change management, and/or project management.

· Critically appraise and synthesize the two selected articles. Apply to the proposed quality improvement initiative and the selected organization.

Required Readings

· Agency for Healthcare Research and Quality. (2022). Primary care practice facilitation curriculum Links to an external site. . AHRQ. https://www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/index.html

Optional Resources

· Agency for Healthcare Research and Quality. (2015). Primary care practice facilitation curriculum: Module 20: Creating quality improvement teams and QI plans Links to an external site. . AHRQ. https://www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf

· Association of Maternal and Child Health Programs. (2017). MCH Innovations Database: Practice summary and implementation guidance: Quality improvement in maternity care via Project ECHO Links to an external site. . AMCHP. https://amchp.org/wp-content/uploads/2021/05/Project-ECHO_Practice-Handout_Emerging.pdf

· CMS.gov. (n.d.). QAPI description and background Links to an external site. . https://www.cms.gov/medicare/provider-enrollment-and-certification/qapi/qapidefinition

TWO

· Review this week’s Learning Resources, focusing on how to recognize and distinguish selection bias, information bias, confounding, and random error in research studies.

· Select a health issue and population relevant to your professional practice and a practice gap that may exist related to this issue.

· Consider how each type of measurement error may influence data interpretation in epidemiologic literature and how you might apply the literature to address the identified practice gap.

· Consider strategies you might use to recognize these errors and the implications they may have for addressing gaps in practice relevant to your selected issue.

DISCUSSION

Post a cohesive scholarly response that addresses the following: 2 PAGES

Describe your selected practice gap (select something on Mental Health if possible).

Explain how your treatment of this population/issue could be affected by having awareness of bias and confounding in epidemiologic literature.

Explain two strategies researchers can use to minimize these types of bias in studies, either through study design or analysis considerations.

Finally, explain the effects these biases could have on the interpretation of study results if not minimized.

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