HLT 362 Quality Improvement Proposal Assignment

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

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Reasons for Quality Improvement Initiatives

Quality improvement initiatives are required in the treatment processes and medical prescription to enhance effective patient outcomes. Also, quality improvement is needed in this area to reduce the number of deaths resulting from the medication errors. The hospital is experiencing increasing mortalities especially among the infants due to medication errors and wrong treatment approaches. Also, there are always complications arising from the cesarean processes. As a result, the healthcare management ought to develop quality improvement strategies to ensure the reduction in the number of complications associated with the operational processes. Quality improvement is also required to reduce the rate of infant mortalities. With the quality improvement processes, there are high expectations of improved patient outcomes and a drastic reduction in the rate of infant mortalities. The organization also anticipates the reduction in the number of healthcare acquired infections and complications. Some of the quality improvement approaches may include continuous training of medical professionals to adhere to the stipulated quality standards and policies. Quality Improvement Proposal Assignment

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How the Results of Previous Research Demonstrate

Support for the Quality Improvement

There are previous research processes that demonstrate support for the quality improvements to reduce treatment and medication errors. These researches incorporated the ideal strategies in ensuring the reduction in the treatment and medication errors. According to the qualitative research, “Qualitative exploration of practices to prevent medication errors in neonatal intensive care units: a focus group

hlt 362 week 4 quality improvement proposal assignment essays — HLT 362 Week 4 Quality Improvement Proposal Assignment Essays

study. Therapeutic advances in drug safety” by Rishoej et al., (2018), technology, education, and improvement of hospital pharmacy services are some of the practices of reducing medication errors. The above qualitative research provides some of the strategies that can be applied to enhance quality improvements in the healthcare settings. The research’s projected outcome was to ensure the reduction of medication errors and the number of mortalities associated with the wrong prescriptions and surgical processes. Additionally, the research, “Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study.” By Gracia, Serrano, and Garrido, (2019) provides the theoretical framework and the approaches that can be used to enhance quality improvement when it comes to the reduction of medication errors in the healthcare settings. The above research studies provide the foundation for understanding the approaches to take in order to reduce cases of treatment and medication errors in my healthcare institution. Quality Improvement Proposal Assignment

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Steps of Implementing Quality Improvement Initiative

The first step involves listing and prioritizing the improvement opportunities. In the above case, the healthcare institution should prioritize reduction in the medication and treatment errors. Secondly, the healthcare organization should focus on defining the improvement objectives. Thirdly, there is the need to define the requirement and the procedures for accomplishing the quality improvement initiative. Collection, organization, and analysis of data is the fourth step in the quality improvement initiative (Snijders et al., 2017). The process involves determining the validity of the improvement processes and the steps required for the successful implementation of the quality improvement ideas. The final step is the generation of the potential solution and choosing the best solution or approach to take in an attempt to reduce medication and treatment errors. The outcomes from the above stages, if valid, should be implemented so as to reduce the cases of medication and treatment errors. Quality improvement should be a continuous process that involve all the stakeholders.

Evaluation of the quality Improvement initiative

Before the implementation of the quality improvement initiatives, there is always the need to conduct evaluation processes to determine the areas of weaknesses and strength. The evaluation processes should involve the analysis of procedures used and the possible outcomes. The whole process should involve the collection and analysis of the clinical data to identify a valid outcome (Rishoej et al., 2018). The evaluation of the quality improvement will also involve analyzing the patient’s feedbacks and determining the areas of concerns. Finally, the evaluation of the improvement strategies should involve measuring patient’s outcomes and the quality of care given.

The research processes to determine the level of quality improvement should involve quantitative research processes where there is independent and dependent variables. The dependent variable will be the rate of mortalities while the independent variable will be rate of medication errors. T-test will be needed to compare the means and reject or accept the null hypothesis. Quality Improvement Proposal Assignment

Conclusion

Quality improvement is a framework that is applied to systematically enhance the ways healthcare processes are delivered to the patients. Quality improvement possesses characteristics that are measurable and controllable. In my organization, treatment and medication errors are some of the challenges that impede effective patient outcome. Quality improvement initiatives are required in the treatment processes and medical prescription to enhance effective patient outcomes. Also, quality improvement is needed in this area to reduce the number of deaths resulting from the medication errors. Before the implementation of the quality improvement initiatives, there is always the need to conduct evaluation processes to determine the areas of weaknesses and strength.

Include the following:

Provide an overview the problem and the setting in which the problem or issue occurs.
Explain why a quality improvement initiative is needed in this area and the expected outcome.
Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Quality Improvement Proposal Assignment

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Quality Improvement Proposal Assignment.

Quality Improvement Proposal Assignment

Include the following:

Provide an overview the problem and the setting in which the problem or issue occurs.
Explain why a quality improvement initiative is needed in this area and the expected outcome.
Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

HLT 362V Week 4 Assignment: ANOVA Excel Worksheet

SYSTOLIC BLOOD PRESSURE IN DIFFERENT AGE GROUPS
The following table contains a random sample of 40 women partitioned into three groups:

Group 1: ages below 20
Group-2: ages 20 through 40
Group 3: ages over 40
The values in the table are the systolic blood pressure levels
The hypothesis test:
H0_u1=u2=u3
H1: at least one of the treatment means is different

Use the Excel Analysis ToolPak to create an Anova – Single Factor table. Is there sufficient evidence to support the claim that women in the different age categories have different mean blood pressure levels? Give reasons for your decision.

HLT 362V Week 4 Workbook Exercises:

Exercise 18: Understanding Analysis of Variance (ANOVA) and Post Hoc Analyses

Mayland et al. (2014) do not provide the degrees of freedom (df) in their study. Use the degrees of freedom formulas provided at the beginning of this exercise to calculate the group df and the error df.
What is the F value and p value for spiritual need—patient? What do these results mean?
………… post hoc result for facilities for the hospital with LCP vs. the hospital without LCP (see Table 2)? Is this result statistically significant? In your opinion is this an … finding?
What are the assumptions for use of ANOVA?
What variable on Table 3 has the result F = 10.6, p < 0.0001? What does the result mean?
ANOVA was … by Mayland et al. (2014). Would t-tests have also been appropriate? Provide a rationale for your answer.
What type post hoc analysis was performed? Is the post hoc analysis performed more or less conservative than the Scheffé test?
State the null hypothesis for care for the three study groups (see Table 2). Should the null hypothesis … accepted or rejected? Provide a rationale for your answer.
What are the post hoc results for care? Which results are statistically significant? What do the results mean?
In your opinion, do the study findings presented in Tables 2 and 3 have implications for end-of-life care?

Exercise 33: Calculating Analysis of Variance (ANOVA) and Post Hoc Analyses Following ANOVA

Do the data meet criteria for homogeneity of variance? Provide a rationale for your answer.
If calculating by hand, draw the frequency distribution of the dependent variable, hours worked. What is the shape of the distribution? If using SPSS, what is the result of the Shapiro-Wilk test of normality for the dependent variable
What are the means for three groups’ hours worked on a job?
What are the F value and the group and error df for this set of data?
Is the F significant at α = 0.05? Specify how you arrived at your answer.
If using SPSS, what is the exact likelihood of obtaining an F value at least as extreme as or as close to the one that was actually observed, assuming that the null hypothesis is true?
Which group worked the most weekly job hours post-treatment? Proved a rationale for your answer.
Write your interpretation of the results as you would in an APA-formatted journal.
Is there a difference in your final interpretation when comparing the results of the LSD post hoc test versus Tukey HSD test?
If the researcher decided to combine the two Treatment as Usual groups to represent an overall “Control” group, then there would be two groups to compare: Supported Employment versus Control. What would be the appropriate statistic to address the difference in hours worked between the two groups?

Exercise 36

The researchers found a significant difference between the two groups (control and treatment) for change in mobility of the women with osteoarthritis (OA) over 12 weeks with the results of F(1, 22) 9.619, p 0.005. Discuss each aspect of these results.
State the null hypothesis for the Baird and Sands (2004) study that focuses on the effect of the GI with PMR treatment on patients’ mobility level. Should the null hypothesis be … for the difference between the two groups in change in mobility scores over 12 weeks? Provide a rationale for your answer.
The researchers stated that the participants in the intervention group reported a reduction in mobility difficulty at week 12. Was this result statistically significant, and if so at what probability?
If the researchers had set the level of significance or = 0.01, would the results of p 0.001 still be statistically significant? Provide a rationale for your answer.
If F(3, 60) 4.13, p 0.04, and = 0.01, is the result statistically significant? Provide a rationale for your answer. …….. accepted or rejected?
Can ANOVA … used to test proposed relationships or predicted correlations between variables in a single group? Provide a rationale for your answer.
If a study had a result of F(2, 147) 4.56, p 0.003, how many groups were in the study, and what was the sample size?
The researchers state that the sample for their study was 28 women with a diagnosis of OA, and that 18 were randomly assigned to the intervention group and 10 were randomly assigned to the control group. Discuss the study strengths and/or weaknesses in this statement.
In your opinion, have the researchers established that guided imagery (GI) with progressive muscle relaxation (PMR) reduces pain and decreases mobility difficulties in women with OA?
The researchers stated that this was a 12-week longitudinal, randomized clinical trial pilot study with 28 women over 65 years of age with the … of OA. What are some of the possible problems or limitations that might occur with this type of study?

Course Code Class Code Assignment Title Total Points
HLT-362V HLT-362V-OL191 Quality Improvement Proposal 150.0

Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (65.00%) 3: Satisfactory (75.00%) 4: Good (85.00%) 5: Excellent (100.00%)
Content 70.0%
Problem or Issue in Practice or Organization 5.0% Overview of the problem and the setting in which the problem or issue occurs is not described. Overview of the problem and the setting in which the problem or issue occurs is partially described. More information is needed to fully understand the problem and the scope of the organization or practice. Overview of the problem and the setting in which the problem or issue occurs is summarized. Some information is needed to fully understand the problem or the scope of the organization or practice. Overview of the problem and the setting in which the problem or issue occurs is described. Some detail is need for clarity. Overview of the problem and the setting in which the problem or issue occurs is described in detail. Problem or Issue in Practice or Organization

Significance of Quality Improvement in Practice or Organization 10.0% Explanation of why the quality improvement initiative is needed is omitted. Explanation of why the quality improvement initiative is needed is partially presented. More information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is unclear. Explanation of why the quality improvement initiative is needed is summarized. Some information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is generally presented. Explanation of why the quality improvement initiative is needed is discussed. It appears that the quality improvement initiative would help address the problem within the described setting. The expected outcome is described. Some information or rationale is needed for support or clarity. Explanation of why the quality improvement initiative is need is clearly discussed. The quality improvement initiative would help address the problem within the described setting presented. The expected outcome is thoroughly described. Overall, the explanation is clear and well supported.

Demonstration of Support From Previous Research 15.0% The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is omitted. Three peer-reviewed sources published within the last 5 years are omitted. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is incomplete. Overall, the research results do not demonstrate support for the initiative or projected outcomes. Fewer than three peer-reviewed sources published within the last 5 years were used. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is generally presented. The research results generally demonstrate support for the initiative and projected outcomes. Three peer-reviewed sources published within the last 5 years were used. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is presented. The research results demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is clearly presented. The research results strongly demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria and provide critical support for the initiative.

Steps Necessary to Implement Quality Improvement Initiative 15.0% The steps necessary to implement the quality improvement initiative are omitted. The steps necessary to implement the quality improvement initiative are incomplete. It is unclear how the steps presented will lead to implementation. More information is needed. The steps necessary to implement the quality improvement initiative are summarized. Some steps are vague. More evidence or rationale is needed for support. The steps necessary to implement the quality improvement initiative are discussed. Some evidence or rationale is needed for support or clarity. The steps necessary to implement the quality improvement initiative are thoroughly discussed. The implantation steps are well supported with evidence and rationale.

Evaluation of Quality Improvement 15.0% An explanation for how the quality improvement initiative will be measured is omitted. An explanation for how the quality improvement initiative will be measured is partially presented. It is unclear how the evaluation will measure improvement; or it is unclear how the evaluation relates to the quality improvement initiative. A general explanation for how the quality improvement initiative will be measured is summarized. The evaluation is generally appropriate to the quality improvement initiative. An explanation for how the quality improvement initiative will be measured is presented. The evaluation is appropriate to the quality improvement initiative. An explanation for how the quality improvement initiative will be measured is presented in detail. The evaluation is appropriate to the quality improvement initiative. Evaluation proposed is well supported.

Identification of Variables, Hypothesis Test, and Statistical Test 10.0% The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are omitted. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are partially presented; one is omitted. The proposed elements are not relevant to proving the quality improvement succeeded. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are summarized. There are inaccuracies. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented. Overall, the proposed elements are relevant to proving the quality improvement succeeded. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented and accurate. The proposed elements will prove whether the quality improvement succeeded.

Organization and Effectiveness 20.0%

Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.

Format 10.0%

Paper Format (use of appropriate style for the major and assignment) 5.0% Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

HLT 362V Week 2 Module 2 Exercise 29

Assuming that the distribution is normal for weight relative to the ideal and 99% of the male participants scored between (-53.68, 64.64), where did 95% of the values for weight relative to the ideal lie? Round your answer to two decimal places.

Which of the following values from Table 1 tells us about variability of the scores in a distribution?
Assuming that the distribution for General Health Perceptions is normal, 95% of the females’ scores around the mean were between what values? Round your answer to two decimal places.
Assuming that the distribution of scores for Pain is normal, 95% of the men’s scores around the mean were between what two values? Round your answer to two decimal places.
Were the body image scores significantly different for women versus men? Provide a rationale for your answer.
Assuming that the distribution of Mental Health scores for men is normal, where are 99% of the men’s mental health scores around the mean in this distribution? Round your answer to two decimal places.
Assuming that the distribution of scores for Physical Functioning in women is normal, where are 99% of the women’s scores around the mean in this distribution? Round your answer to two decimal places.
Assuming that the distribution of scores is normal, 99% of HIV-positive body image scores around the mean were between what two values? Round your answer to two decimal places.

99% of HIV-positive body image scores for males were between (24.14, 111.86):

Assuming that the distribution of scores for Role Functioning is normal, 99% of the men’s scores around the mean were between what values? Round your answer to two decimal places.

What are some limitations of this study that decrease the potential for generalizing the findings to the target population?

HLT 362 Quality Improvement Proposal Assignment