Description of the Problem
- State problem to examine in Root Cause Analysis (RCA).
- State rationale for problem selection.
- Include a brief description of literature supporting the need for quality improvement (QI).
- Include in-text citations.
Fishbone Diagram
- Identify the problem in the designated area.
- Identify appropriate contributing factors for each category.
- Include at least two contributing factors for all categories. Delete any unused text boxes.
- Identify each contributing factor as realistic or unrealistic targets for QI efforts.
Correlation with Contributing Factor
- Select one realistic contributing factor from the fishbone diagram.
- List 2-4 interprofessional stakeholders involved in the project.
- Write one SMART goal for the PDSA Quality Improvement Project.
PDSA (Plan, Do, Study, Act)
- Under the “Plan” phase, write a plan (in 2-3 sentences) for the quality improvement project to meet the SMART goal.
- Under the “Do” phase, briefly describe (in 2-3 sentences using past tense) how the Plan was hypothetically implemented and what data was collected.
- Under the “Study” phase, briefly evaluate (in 2-3 sentences using past tense) the data. Identify whether the goal was met or not met.
- Under the “Act” phase, briefly describe (in 2-3 sentences using past tense) how to maintain the improvement or revise and repeat the PDSA process based on whether or not the goal was met.
Solution
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