Reflection On The Quality Improvement Model Discussion

Review the Learning Resources for this week, and reflect on the different quality improvement models presented.
Select one quality improvement model from the following to focus on for this Discussion: Reflection On The Quality Improvement Model Discussion
Plan, Do, Study, Act (PDSA)
Reflect on the quality improvement model you selected, and consider how it might be implemented in your healthcare organization or nursing practice.
Post a brief explanation of the quality improvement model you selected, including a description of the components that make up this model. Be specific. Then, explain how this quality improvement model might be implemented in you healthcare organization or nursing practice in response to an adverse event requiring quality improvement. Be specific and provide examples.

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PDSA (acronym for Plan-Do-Check-Act) is a four-stage process of rapid cycle improvement. In fact, it is an iterative process for conducting change. It focuses on the stakeholders, particularly the internal and external customers, who define quality with their opinions and feedback considered important in determining what works in the organization and what does not work and should be changed. In going through the four stages, the change that is implemented is tested even as the change tasks are broken down into steps, then the outcome is evaluated and improved upon before testing the change again to account for the improvements (Melnyk & Fineout-Overholt, 2019)Reflection On The Quality Improvement Model Discussion.

Implementing model

As earlier indicated, the PDSA is a four-stage process. An example of its application is in eliciting better interaction between nurses and electronic health records (EHR) system to improve efficiency, reduce cost of care, and ensure better patient outcomes. The first stage is Plan, focusing on what is going to be done. This involves developing improvement ideas that are based on the premise of improving nurses’ interactions with the EHR system. In addition, it requires that a plan be made for implementing the specific fix, set of goals and establishing methods of collecting data. Besides that, it requires that a team to implement the fix be identified and recruited with a focus on engaging persons who can contribute to the design of the plan and change implementation. Some of the questions considered at this stage are: what are the goals being pursued, what outcome is being targeted, what should be attempted first, what resources are needed, who needs to be involved, is relevant data available, and how to know what works (Helming, Shields & Avino, 2020; Stanhope & Lancaster, 2020).

The second stage is Do, focusing on implementing the plan. This involves implementing the plan developed in the first stage. In addition, it requires that data be collected, issues with data collection be identified, and any issues with the plan be pointed out. Some of the questions considered at this stage are: is the data enough and meaningful, is the data reliable and sound, and is the intended data captured (Helming, Shields & Avino, 2020; Stanhope & Lancaster, 2020)Reflection On The Quality Improvement Model Discussion.

The third stage is Study, focusing on determining and explaining the results. This involves analyzing the data collected in the second stage and determining what the data shows. The focus is on showing whether the data represents the efficacy of the plan, if the change reached the intended goals, and if the plan supports the hypotheses set. Some of the questions considered at this stage are: was the right data collected, did the data support the hypothesis, is their need to reiterate the plan and collect new data, and what are some of the potential roadblocks and risks faced when acting on the data findings (Helming, Shields & Avino, 2020; Stanhope & Lancaster, 2020).

The fourth stage is Act, focusing on making changes based on the findings. This involves acting on the lessons learned from implementing the plan and analyzing the data. The results of the stage determine the iteration or next action in terms of whether to continue with system-wide implementation of the plan as a data-informed change, or to start back from the first stage with revamped hypotheses and goals based on the new insights gained. Some of the questions considered at this stage are: is there need to revisit the goals and plan or are there enough insights to enact change, and how often should the outcomes be reviewed, new data analyzed and plan iterated (Helming, Shields & Avino, 2020; Stanhope & Lancaster, 2020)Reflection On The Quality Improvement Model Discussion.

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References

Helming, M., Shields, D., & Avino, K. (2020). Dossey & Keegan’s Holistic Nursing: A Handbook for Practice (8^th ed.). Jones & Bartlett Learning, LLC.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice (4^th ed.). Wolters Kluwer.

Stanhope, M., & Lancaster, J. (2020). Public Health Nursing: Population-Centered Health Care in the Community. Elsevier, Inc. Reflection On The Quality Improvement Model Discussion