...I will bring my articles to the meeting. Being a transformational leader, I would help lead the project. I would organize my ideas, take the issues and concerns to my clinical manager and Director of Nursing after collecting data and try to seek their support and attempt to set up a meeting. Change Theory The change theory/model I would explain the use of a Plan-Do-Study-Act (PDSA) cycle. The cycle is a four-method management method. It is often used to control and increase improvement. The PDSA is method is a learning process where knowledge occur through making change and reflecting on the consequences of that change (Kirkbride, Floyd, Tate, & Wendler, 2012). First, I would need to gather a team or committee of volunteers to help pilot the project. Members would be best if the team had the Chief Nursing Officer, the Clinical Manager and Clinical Coordinator of the team and a couple of nurses. The committee would need to identify the peak admission times of patients, a group of admission team or admission nurse would need to assembled. A couple of floors would need to be designated as the pilot floor. The observation unit and the busy medical-surgical floor I work on, and...
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...there are not so many differences between these approaches, as you could expect. All differences are depending only on the type of problem, which has to be solved. Various problem-solving approaches like PDCA and DMAIC can be sorted in the following categories (Liesener): 1. Is it a small, medium or large sized problem you want to solve and is the solution of the problem unknown? 2. Does your problem solving strategy follow a continuous improvement process or do you want solve a single problem (e.g. a customer complaint)? What do these approaches have in common? They follow a scientific and methodic way to solve the problem. In addition to that, the different phases in each approach can be mapped to the phases of the others. PDSA The PDSA-Cycle is the classic problem-solving approach in a LEAN environment. PDCA is used for medium sized problems and the Act-phase...
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...Running head: Plan-Do-Study-Act (PDSA): The Deming Cycle Plan-Do-Study-Act (PDSA): The Deming Cycle Dana T. Colter Grand Canyon University EDA 577 Data Driven Decisions for School Improvement September 29, 2010 Plan-Do-Study-Act (PDSA): The Deming Cycle Increasing student achievement is one of the goals at Lewisville High School. There are two major exams used to measure student achievement. The first exam is the South Carolina High School HSAP exam. The second exam is the End-of Course Exam. South Carolina requires students to complete End-of-Course exams at the completion of English 1, Physical Science, U.S. History, and Algebra 1. Below you will find data from the 2009-2010 Algebra End-of-Course Exam. This exam is giving to students at the end of Algebra I CP and Algebra Tech II. The exam is given by the state and is twenty percent of the students’ final grade. The exam tests the South Carolina Algebra Standards. These standards include understanding functions, linear functions, and quadratic equations. |School Year | 2009 - 2010 | | | | |Grade |# of Students |Percentage | | | |A |12 |13% | |3 perfect Scores | |B |25 |27% ...
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...need for quality management, areas to monitor, regulatory agencies, and resources represent the various points that will be addressed throughout the paper. Foundational Frameworks of QI There are several foundational frameworks within the subject of QI. There are several QI models derived from ideas and theories of leaders. According to Ransom, Joshi, Nash, and Ransom, (2008) PDSA/PDCA, API, FOCUS PDCA, Baldrige Criteria, ISO 9000, Lean, and Six Sigma represent various frameworks used to improve the quality of healthcare. Edward Deming described the Plan-Do-Study-Act (PDSA) cycle a plan to learn and improve the quality of work dated back to 1950s. Later Walter Shewhart developed the Plan-Do-Check-Act (PDCA) cycle for the basis for planning and expressing QI endeavors. The PDSA/PDCA model helps the facility to focus on how to plan for the improvement, how the improvement will be implemented, how the improvement will be identified/monitored, and what was learned from the improvement process. The associates in process improvement (API) represent a model based upon the PDSA cycle. In addition to the PDSA cycle the model adds three fundamental questions: what are we trying to improve, how will we identify the change is an improvement, and what change can we make that will result in improvement according to Ransom et al. (2008). The FOCUS PDCA represents another...
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...consists of sixteen individuals, including teachers, an administrator, a counselor, a district leader, and a parent. In addition, parents and community members are called to review the school plan with team members prior to its release to the public. The school improvement plan is required by several federal and state mandates such as Title One (ESEA, 1965), the No Child Left Behind Act (NCLB, 2001), and the Texas Education Agency (TEA, 2011). These various mandates require that a school improvement plan is used by the school leadership in assuring the budgets from different federal and state agencies are properly planned out and accounted for. Since planning is necessary to ensure funding for school improvement, a Plan-Do-Study-Act (PDSA) Cycle (Bernhardt, 2004) is implemented to insure all necessary funding is received and utilized toward improving student achievement. The school improvement plan team starts planning at the beginning of each school year by making all staff members aware of the plan that will be in effect for the current school year. The essential...
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...infection. By incorporating both of these processes, the bundle recommendations were composed from data of a well represented patient population. The PDSA was found to be extremely useful in this project. The process began with a plan phase. This phase explained aspects that needed adjustments in order to improve infection rates. It also identified goals, outlined the steps to execute, provided a reevaluation timeframe, and stipulated an overall timeline for the project. All members of the committee were actively involved in creating the steps that would need to be executed. It was imperative that evidence based research was utilized in this phase to ensure we were making appropriate changes. The guideline recommendations were then presented in a poster format and called the C-Section Infection...
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...The Juran Trilogy: It is one of the best approaches developed by Dr. Joseph Juran. It has three components: Planning, control, and improvement, and is referred to as the Juran Trilogy. It is based loosely on financial processes such as budgeting (planning), expense measurement (control), and cost reduction (improvement). Quality Planning: The structured process for designing products and services that meet new breakthrough, goals and ensure that customer needs are met. The processes are called Design for Six Sigma or Concurrent Engineering. This can be particularly challenging for a planning team, because customers are not always consistent with what they say they want. The challenge for quality planning is to identify the most important needs from all the needs expressed by the customer. The planning component begins with external customers. Once quality goals are established, marketing determines the external customers, and all organizational personnel determine the internal customer. Once the customers are determined, their needs are discovered by: Being a user of the product or service, * communicating with customers through product or service * satisfaction and dissatisfaction information, or * Simulation in the laboratory. The next step in the planning process is to develop product and/or service features that respond to customer needs, meet the needs of the organization and its suppliers, are competitive, and optimize the costs of...
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...INTRODUCTION – ‘Intrapreneurism is a form of management which, potentially, offers the venture a way of combining the flexibility and responsiveness of the entrepreneurial with the market power and reduced risk of the established organisation’ Gifford Pinchot, in the mid-80s, created the word “intrapreneur” which described employees of large businesses who were hired to behave and think like entrepreneurs. Pinchot defined intrapreneurship as “behaving like an entrepreneur when you’re employed at a large corporation for the benefit of the corporation as a whole” and believed that being appointed as an intrapreneur before giving a shot at entrepreneurship is a great method developing management skills and techniques before stepping into the entrepreneurial world. Apart from just a set of skills and great techniques there are also personality and character qualities that make up a successful intrapreneur or entrepreneur. “The most successful are risk takers who are driven by a vision of something that is better in the world,” Pinchot says. “They are honest and use a balance of intuition and analysis to make their decisions.” Other scholars have defined intrapreneurship in many different of ways. Expressions such as corporate entrepreneurship (Burgelman, 1983, Vesper, 1984; Guth and Ginsberg, 1990; Hornsby et al., 1993, Stopford and Baden-Fuller, 1994), corporate venturing (MacMillan, 1986; Vesper, 1990), and internal corporate entrepreneurship (Schollhammer, 1981, 1982; Jones...
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...Quality Improvement Part 1 Bledine Thelusma-Choudelor HCS/588 Measuring Performance Standards January 25, 2016 Dr. Richard Woerz Healthcare organizations is held up to very high standards by society especially when it comes to patient safety. The quality of care has to be at its best at all times. This paper will look into the Quality Improvement for the patient safety, some of the areas that will be covered are the data to monitor improvement, three tools that will be used to measure improvement, the information each tools will collect, will discuss the strengths and weakness of each tools and the similarities and difference for the tools been used. We will discuss what Davis Health Care goals are with patient safety. For proper monitoring there will be data that are needed from the Davis Organizations such as past patient safety reports from the past few years, organizations rating on patient safety from patient, The Joint Commission and other important organizations. The last piece of data that would need to be collected is where does Davis Health Care wants to go from here, so that can help the goal setting. Monitoring the improvement allows the Davis organizations to be aware of their starting point and future goals. Monitoring improvement will include setting goals such as clear and specific goals ( Kelly, 2012). Clear goals allows is the most effective progress, and it’s very clear. This goal allows the most effective solution to the improvement the Davis Health...
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...QI uality mprovement in FOCUS Your Rapid-Cycle Improvement Guide to Achieving Results Quality Improvement in Focus Rapid-Cycle Improvement Getting Started Table of Contents Introduction........................................................................................................................... page 3 . Getting Started....................................................................................................................... page 5 Find a Process to Improve...................................................................................................... page 7 Organize to Improve the Process. .......................................................................................... page 8 . Clarify Current Knowledge of the Process............................................................................ page 11 Understand Sources of Process Variation............................................................................. page 13 Select the Process Improvement.......................................................................................... page 15 Appendix Worksheet A: Identifying Areas for Improvement. .............................................................. page 16 . Worksheet B: Developing a Team Worksheet...................................................................... page 17 Worksheet C: Team Meeting Notes....................................................
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...interventions by emergency room staff. Contributing factors in the scenario with Mr. B included factors such as high in flux of patient census, lack of utilization staffing support, lack of communication between staff and physician, lack of awareness of patient’s chronic use of opioid medications, patient age and the work around of the emergency room conscious sedation protocol. With these factors identified, the chosen committee that is made up of the emergency room staff, pharmacist, ancillary staff, managers as well as Quality and Risk support would combine to review the information gathered. It is also valuable to have patient based input involved in the information gathering process as well. Through use of the RCA, fishbone diagram an PDSA with clearly stated goals for improvement the committee can begin to establish steps for change. Change can be a difficult and uncomfortable process...
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...A. The sentinel event was related to respiratory arrest secondary to conscious sedation procedure. There were several factors that played a role which included high patient census, poor staffing, alarms dismissed by staff members, patient was left unmonitored, and no supplemental oxygen initated prior to the procedure. When the patient was pulseless no CPR was initiated until the code team arrived and critical interventions were delayed by the emergency room staff. The patients medication reconciliation or history weren’t reviewed by the emergency room physician. Tripple doses of intravenous valium and dilaudid were given without a lapse in time. The patient was elderly and on chronic oral opioid medications. “Normally these types of medications are administered with low doses and titrated per patient’s sedation level. Patient, monitoring or sedation level weren’t assessed between doses. This event is known as a sentinel event. In any situation that causes injury, or death a root cause analysis must be completed and reported to the Joint Commission. B. To implement a change in the conscious sedation procedure a team or committee needs to be established. All staff in the emergency room can become active participants by joining a committee or subcommittee. These main categories may include patient characteristics, task factors, individual staff members, team factors, work environment, and organizational management (IHI, 2014)...
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...y Name: Institution: Course: Tutor: Date: Organizational Systems & Quality Leadership Introduction The core objective of health care is to provide high-quality care to all patients to guarantee positive health outcomes. This principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are besides guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient assessment as a contributor to the factors...
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...Running Head: Systems Thinking 1 Systems Thinking Management Process Systems Thinking 2 Table of Contents Introduction to Systems Thinking Reflections on readings Applying SIMILAR to an area needing improvement Conclusions Systems Thinking 3 Systems thinking is a very new concept to me. It is an outstanding approach with a global view of the entire system and not viewing each department as a separate entity thus preventing the siloed effect. First and foremost, I think it is critical to define just exactly what constitutes a system. According the Dr. Deming’s book, a system is defined as “a series of functions or activities within and organization that work together for the aim of the organization” (Latzko, 1995, p. 35). I at first struggled with the systems concept. Using this approach all components of the system gain and not at a cost to another. With that definition in mind we can apply this thinking to any organization or process. I love the analogy Dr. Deming used by looking at an orchestra as a perfect system. My translation of this analogy is that the sum is greater than the parts. The combined efforts of each member of the orchestra are an outstanding product, beautiful music, regardless of the instrument played. All the orchestra members have the same common purpose (Dr. Deming’s 1st point for management). Thus, providing...
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...Case Study 8.1: Sour Grape Ice Cream Kelly Epps Reyes Grantham University Case Study 8.1: Sour Grape Ice Cream There are seven common quality tools that the Quality Ice Cream Company could use to understand and improve processes during a production run with the Sour Grape Ice Cream. Flow Chart, Run Chart, Process-Control Chart, Check Sheet, Pareto Diagram, Cause-and-Effect Diagram, and Scatter Diagram. Each of these tools helps to identify sources of variation and aids in the analysis, documentation, and organization of the information, which will leads to process improvement. The company should start with a flowchart or process map to visually represent relationships among the activities and tasks that make up a process. At high levels, process maps help you understand process complexity. At lower levels, they help analyze and improve the process. This will give the company a better idea of what is causing the rejections form happening. A scatter diagram should be made from the data, collected by the production operator. This will show the relationship between the run time and the viscosity of the ice cream. This will also help in finding out how long the ice cream should be mixed for to keep the ice cream from being too soupy or too stiff. From the data collected over the 10 days, it seems like it is not run for enough time, most of the time, resulting in a too soupy product. (Sower, V. 1996, pg. 201-202) After the best run time is determined, they...
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