Fishbone and PDSA Quality Improvement Assignment Example NR447

Fishbone and PDSA Quality Improvement Assignment Example NR447

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Use this template to complete the Week 6 Fishbone and PDSA Quality Improvement assignment as outlined in the assignment instructions in Canvas.

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Click into each box where it says [Type Here] on the following slides.

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Problem to Examine in Root Cause Analysis (RCA):

Low rates of compliance with preventive care screenings and routine immunizations among adult patients in the primary care setting.

Rationale for Problem Selection:

Preventive screenings and vaccinations create essential conditions for early illness detection and decreased disease-related problems. Medical services that are vital for patient health receive inadequate attention from many patients, which subsequently generates higher healthcare expenses and raises disease severity levels.

Brief Description of Literature Supporting the Need for Quality Improvement

(At least 2-3 sentences, cite 1-2 sources):

The CDC (2022) reports that influenza vaccination rates, together with shingles vaccination rates and pneumococcal disease vaccination rates, fall short of Healthy People 2030 objectives. Cheng et al. (2020) reveal that patients avoid preventive care because they receive wrong information from sources and face limited access to services and non-receptive provider guidance. The identified data indicates an obvious requirement for Quality Improvement methods that seek to boost acceptance rates.

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There is a fundamental requirement for preventive care services that provide routine screenings and vaccinations to help people detect diseases early while improving long-term population health. Preventable illnesses, together with increased healthcare expenses, result from adult patients who postpone or avoid routine medical services. Our project aims to enhance preventive screening compliance rates within our patient demographic. The issue was chosen because it directly affects patient outcomes, while the CDC and other organizations have confirmed the widespread underutilization of preventive services. Resolving this gap would strengthen personal health outcomes and public well-being and decrease unnecessary healthcare costs Fishbone and PDSA Quality Improvement Assignment Example NR447 . We aim to discover barriers and design specific interventions to enhance the desired outcomes.

The fishbone diagram presents all the various factors that drive down preventive screening and vaccination adoption rates. The analysis grouped identified factors under four categories: Environment, People and Method/Process, and Equipment/Supplies. Four causes were examined beneath each group, where two factors were chosen for practical change initiatives while two others presented challenges for change. The team selected realistic factors, including limited access to appointments, insufficient patient education, and the absence of reminder tools and outdated EHR platforms, as areas for direct intervention. The team acknowledges flood zones and total patient refusal as unrealistic, although they cannot serve as short-term change opportunities. The systematic analysis helps identify practical areas where our quality improvement project can make a difference while guiding us in choosing the most effective interventions.

 

Select ONE Realistic Contributing Factor From Fishbone for PDSA:

No reminder system for due screenings.

List 2-4 Interprofessional Stakeholders:

Primary Care Physicians

Nursing Staff

IT/EHR Specialist

Clinic Administrator

Write ONE SMART Goal for the PDSA Quality Improvement Project:

Specific
: A notification system based on the EHR will automatically deliver information about upcoming and delayed preventive screening appointments to adult patients.

Measurable
: A 20% improvement goal exists for preventive screening completion Fishbone and PDSA Quality Improvement Assignment Example NR447 .

Attainable
: Staff members will receive training in using the system as the EHR system permits the integration of reminders.

Relevant
: The enhancement of screening rates enables early diagnosis and treatment of chronic diseases, which meets the requirements for healthcare quality advancement.

Time-Based
: The identified objective needs to be reached within three months.

Write your SMART goal in one sentence
: The implementation of an automated reminder system within the EHR will lead to a 20% increase in adult patients finishing their due preventive screenings during the next 3 months.

Research showed inadequate screening reminders as the most realistic opportunity to enhance patient outcomes because they delivered high-impact results. Our team comprises primary care providers, EHR/IT personnel, care coordinators, and clinic managers. A SMART goal established to enhance adult patient completion rates of due preventive screenings by 20% through EHR-based automated reminder technology within three months. This goal contains specific, measurable objectives that can be achieved using existing tools for relevant clinical quality results while maintaining a time frame for accountability. The goal supports our organizational mission of encouraging proactive medical care and maximizing preventive health delivery.

Plan:

Healthcare staff should create and deploy an EHR automated reminder system that automatically sends preventive screening alerts through SMS and email channels. Staff members need training to document and update the screening completion records through the system.

Do:

The reminder system received full implementation across all clinics. The healthcare facility delivered SMS/email alerts to 500 adult patients over three months, which resulted in 120 additional patients completing their due screenings compared to the previous quarter.

Study:

Screening completion numbers surged by 24%, according to collected data when compared to original measurements. Staff members noticed that patients became more involved during appointments, and screening procedures were detected before the scheduled time Fishbone and PDSA Quality Improvement
Assignment Example NR447
.

Act:

The intervention was deemed successful. The reminder system will keep operating while adding immunization alerts to its functionality. The following PDSA cycles will research multilingual reminder systems that target diverse patient populations.

An implementation protocol was created for automated reminders within our EHR system and trained our staff about its operation during the Plan phase. Our team deployed the system during the Do phase and conducted weekly reminder messages to appropriate adult patients. The hypothetical data showed a growth in screening completion rate from 50% to 70% during three months. Evaluation of the collected data was done in the Study phase to validate that our SMART goal had been successful. The Act phase led us to sustain the reminder system while extending vaccination notifications into the platform. The data success would have triggered a revision of our messaging approaches or the frequency of delivery methods.

References (Hanging Indent Not Required)

Cheng, H., Eames-Brown, R., Tutt, A., Laws, R., Blight, V., McKenzie, A., … & Denney-Wilson, E. (2020). Promoting healthy weight for all young children: a mixed methods study of child and family health nurses’ perceptions of barriers and how to overcome them. BMC nursing, 19, 1-14.
https://link.springer.com/article/10.1186/s12912-020-00477-z

Centers for Disease Control and Prevention. (2022).
Vaccination coverage among adults in the United States
.
https://www.cdc.gov/adultvaxview/publications-resources/adult-vaccination-coverage-2022.html
  Fishbone and PDSA Quality Improvement Assignment Example NR447