Note: This writerwill be needed to write future papers. In all a total of four different papers. Paper 1 Safety Gap analysis, Paper 2 an Executive Summary, Paper 3 Outcome, Measures Issues and Opportunities and paper4 _Planning for Change A Leaders Vision._ . Each paper builds on the work you completedin the previous assessment. This is paper 1 only.
Write an analysis, 4-5 pages in length, of the gap betweencurrent and desired performance, with respect to the provision of safe,high-quality patient care.
As a nurse leader,you must be able to assess your organization’s ability to deliver safe,high-quality patient care. In so doing, you may be required to perform a gapanalysis of a quality or safety issue as the first step in improving outcomes.Failure to meet benchmarks for safe and effective patient care can havereimbursement, regulatory, and legal consequences.
This assessment provides an opportunity to develop theknowledge, skills, and attitudes required to successfully implement changesthat improve patient outcomes by:
Evaluating the current culture of an organization.
Performing an outcomes gap analysis.
Determining what changes are needed to bridge the gap.
Examining current thinking on this topic contained in theliterature.
Quality and safety are everyone’s responsibility as a teamof interprofessional care delivery partners. Together we develop policies thatsupport quality and safe care delivery. As part of the interprofessional team,nurses are leaders in care and thus are responsible and accountable for leadingand providing safe quality care.
Health care delivery is structured around evidenced-basedinformation. Quality is defined by exploring proven, evidenced-basedinformation. After reviewing and defining evidenced-based information, theinterprofessional team applies this knowledge to assess the organization’s orthe practice setting’s ability to provide evidenced-based care delivery. When agap in care is identified, it is important to propose an evidenced-based changeand to execute a plan for improved care.
Your quality and safety gap analysis will provide the basisfor the remaining assessments in this course.
Preparation
As a nurse leader,you are fully aware of the hazardous nature of health care and thatorganizations must continually seek to improve the quality and safety of thecare they provide to patients. For this assessment, you will identify asystemic problem in your organization, practice setting, or area of interestassociated with adverse quality and safety outcomes (for example, an increasein the incidence of falls or medical errors) and analyze the gap betweencurrent and desired performance.
As you prepare to complete this assessment, you may want tothink about other related issues to deepen your understanding or broaden yourviewpoint. You are encouraged to consider the questions below and discuss themwith a fellow learner, a work associate, an interested friend, or a member ofyour professional community. Note that these questions are for your owndevelopment and exploration and do not need to be completed or submitted aspart of your assessment.
Culture and process contribute to our ability to develop andsustain quality and safety in a health care organization. By exploring thesetopics, you can analyze where you may have gaps in practice that affect outcomes.In addition, organizations must create benchmarks for outcomes to determinewhether they are meeting quality and safety goals.
What does your organization measure, related to quality andsafety, and why?
Are there certain aspects of your organization’s culture andprocesses that support or hinder quality and safety?
Is the organization meeting outcome measurement benchmarks?
If not, how might you address those gaps in performance?What system could be developed to support a change to close a particular gap?
Requirements
Note: The requirements outlined below correspond to thegrading criteria in the Quality and Safety Gap Analysis Scoring Guide. Be surethat your written analysis addresses each point, at a minimum. You may alsowant to read the Quality and Safety Gap Analysis Scoring Guide and GuidingQuestions: Quality and Safety Gap Analysis [DOCX] to better understand how eachcriterion will be assessed.
Conducting the Analysis
Identify a systemic problem in your organization, practicesetting, or area of interest that contributes to adverse quality and safetyoutcomes.
Propose specific practice changes that will improve qualityand safety outcomes and bridge the gap between current and desired performance.
Prioritize proposed practice changes.
Determine how proposed practice changes will foster aculture of quality and safety.
Determine how a particular organizational culture orhierarchy might affect quality and safety outcomes.
Justify necessary changes with respect to functions,processes, or behaviors, specific to your organization.
Writing and Supporting Evidence
Communicate analysis data and information clearly andaccurately, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence tosupport assertions, correctly formatting citations and references using APAstyle.
Additional Requirements
Format your document using APA style.
Use the APA Paper Template linked above. Be sure to include:
A title page and reference page. An abstract is notrequired.
A running head on all pages.
Appropriate section headings.
Properly-formatted citations and references.
Your analysis should be 45 pages in length, not includingthe title page and reference page.
Portfolio Prompt: You may choose to save your gap analysisto your ePortfolio.
Competencies Measured
By successfully completing this assessment, you willdemonstrate your proficiency in the following course competencies andassessment criteria:
Competency 1: Analyze quality and safety outcomes from anadministrative and systems perspective.
Identify a systemic problem in an organization related toadverse quality and safety outcomes.
Propose specific practice changes within an organizationthat will improve quality and safety outcomes and bridge the gap betweencurrent and desired performance.
Prioritize proposed practice changes.
Competency 2: Determine how outcome measures promote qualityand safety processes within an organization
Determine how proposed practice changes will foster aculture of quality and safety.
Competency 3: Determine how specific organizationalfunctions, policies, processes, procedures, norms, and behaviors can be used tobuild reliable and high-performing organizations.
Determine how a particular organizational culture orhierarchy might affect or contribute to adverse quality and safety outcomes.
Justify necessary changes to particular organizationalfunctions, processes, and behaviors that correct or mitigate adverse qualityand safety outcomes.
Competency 5: Communicate effectively with diverseaudiences, in an appropriate form and style, consistent with applicableorganizational, professional, and scholarly standards.
Communicate analysis data and information clearly andaccurately, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence tosupport assertions, correctly formatting citations and references using APAstyle.
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