The Global Evolution of Continuous Quality Improvement Essay Paper

Personal Improvement Project Plan: The aim of the Personal Improvement Project is to experiment with a small change that is under your personal control; collect, analyze, and interpret data; and then reflect on what you have learned from your project about the general challenge of changing something. Through this project, you will see how the quality improvement (QI) process works in general and familiarize yourself with the tools used for healthcare QI. The Global Evolution of Continuous Quality Improvement Essay Paper

• Clearly state the aim of your project. The aim of my personal improvement project is to improve my work and home life balance. I currently work more well over my 40 hours and do not have quality time with my family. My table will have the workdays that I work and not include the weekends. My goal is to improve my work/home life balance. I want to do this because I have noticed since taking my new job, that my mental health is suffering. I am starting to regret my decision in taking my new role as a Nurse Manager. I am looking to improve my work/home life balance for a happier life and improving my relationships with my husband and children.
  

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Part 2: Process Analysis

• Consider the process leading to the results that you aimed to improve. Create a process map to identify the steps in the process and identify the people (other than you) who were involved in the process.

The process I plan to take is to start with 1 idea to improve my work hours each week. I will build on each step by adding another tool to try and improve my hours. Week 1, use no tools and see how much I work. Week 2 add one tool (Write day each day the tasks that need to be completed with estimate time for completion). Week 3 in addition to tool number one, as a alarm to go prompt me that my hours are complete. Week 4, in addition to both tools from week 3, adding an additional alarm to ensure my tasks are being completed and not derailed. Also making sure that I have a 15-minute alarm prior to my departure, with the departure alarm still going. I learned to keep these alarms and have them on repeat (so I wouldn’t forget to reset them). Myself and my director were involved in creating this process. The Global Evolution of Continuous Quality Improvement Essay Paper

Part 3: Measurement

• Describe the data collection method used, including an explanation of what you measured and how. Be specific.

I chose to do my data collection tallying my hours worked each day for 4 weeks. I connected with my director to come up with different tools to use each week but adding them to the previous tools utilized each week. Week 1, I continued to work without any adjustment, to document my hours accordingly, so I could see what I kind of hours I was working over my 40.

The 2^nd week I began to make a list of tasks each morning to organize my day and attempt to plan out my schedule. I was still working past my 40 hours, but I could see some progress. By noting some of the tasks and estimating how long they would take. This way, if it was 4pm and I am supposed to leave by 430pm, I would leave tasks that I estimated would take longer than 30-45 minutes for the next day. I recognized the need to have more consistent alarms, the need to take into account my start time and not just my end of shift times. There are some shifts that as a nurse, you can get sucked into a situation at the bedside, and my hours needed to give and take a little.

The 3^rd week, I continued to note my tasks for my day and the estimated times, but I added an alarm on my phone for the time I was supposed to leave. My time improved, but still not at 40 hours. But I can say that my hours were improving. I realized that I needed to set my alarm to go off daily during the week, so that I did not need to reset it. I also moved around some of my agenda items for my days and went into work later, so that I could stay later on some evenings and not be exhausting myself and my hours. I noticed that my hours were stacking up and so when I was able to leave “early” in a shift, I did. To try and save some of my sanity and improve that balance. The Global Evolution of Continuous Quality Improvement Essay Paper

The 4^th week, I continued to do everything from the third week, but I added more alarms to my day. I set an alarm for the estimated time of my tasks. This gave me a heads up on if I was taking too long or placing too much focus on a task that was “dead in the water”. This allowed me to complete more tasks in a timely manner. I also set a 15-minute alarm for 415pm, as my que to make sure that I was finishing up my tasks with only 15 minutes left of my day. Then my final alarm went off at 430.

Each Friday I would add a tool for my next work week. To see if this would improve my ability to leave work closer to my 40 hours.

Through the 4 weeks, I was able to improve my work life balance, and was arriving home with the ability to join my family for dinner in the last 1.5 weeks. I was able to increase my time with my husband and children and increase my joy of my career. The Global Evolution of Continuous Quality Improvement Essay Paper

• Present the data in a table, graph, diagram, run chart, or XmR chart.

This section is complete, and is not part of the 4-5 page written paper.

Data Collection Plan

Part 4: Changes

• Explain the changes you made based on the data. What worked? What didn’t work?

Part 5: Reflection and Application

• Reflect on your personal improvement project and what you learned.
• Explain how you will maintain ongoing improvement in this area long-term. The changes I made are making a significant impact on my work life balance. They aren’t difficult to maintain because I am able to use my phone for alarms, Writing my tasks each morning improve my ability to function throughout the day and not waste time.
• Explain how you could use knowledge from this experience to facilitate both a unit-level and an organization-level change in a nursing workplace. Be specific and provide examples. The Global Evolution of Continuous Quality Improvement Essay Paper

Must use at least 4 of the below references:

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REFERENCES to use in Project:

Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Burlington, MA: Jones and Bartlett.

• Foreword (pp. xiii–xvii)
• Chapter 1, “The Global Evolution of Continuous Quality Improvement: From Japanese Manufacturing to Global Health” (pp. xviii–30)

Agency for Healthcare Research and Quality. (2018). Six domains of health care quality. Retrieved from https://www.ahrq.gov/talkingquality/measures/six-domains.html

Neuhauser, D., Myhre, S., & Alemi, F. (2004). Personal continuous improvement workbook (7th ed.). McLean, VA: Academy for Healthcare Improvement.

Institute for Healthcare Improvement. (n.d.a). How to improve. Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Burlington, MA: Jones and Bartlett.

• Chapter 4, “Understanding Variation, Tools, and Data Sources for CQI in Health Care” (pp. 106–141)
• Chapter 5, “Lean and Six Sigma Management: Building a Foundation for Optimal Patient Care Using Patient Flow Phy” (pp. 142–173)

Silver, S. A., Harel, Z., McQuillan, R., Weizman, A. V., Thomas, A., Chertow, G. M., … Chan, C. T. (2016). How to begin a quality improvement project. Clinical Journal of the American Society of Nephrology, 11(5), 893–900. doi:10.2215/CJN.11491015

American Society for Quality. (n.d.). Quality tools A to Z. Retrieved from https://asq.org/quality-resources/quality-tools

Agency for Healthcare Research and Quality. (n.d.). Process mapping. Retrieved from https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-0

Antonacci, G., Reed, J. E., Lennox, L., & Barlow, J. (2018). The use of process mapping in healthcare quality improvement projects. Health Services Management Research, 31(2), 74-84. doi:10.1177/0951484818770411

Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Burlington, MA: Jones and Bartlett. The Global Evolution of Continuous Quality Improvement Essay Paper

• Chapter 9, “Assessing Risk and Preventing Harm in the Clinical Microsystem” (pp. 234–251)

Agency for Healthcare Research and Quality. (2019c). Measurement of patient safety. Retrieved from https://psnet.ahrq.gov/primer/measurement-patient-safety

Agency for Healthcare Research and Quality. (2019a). Checklists. Retrieved from https://psnet.ahrq.gov/primer/checklists?q=/primers/primer/14

Agency for Healthcare Research and Quality. (2019b). Detection of safety hazards. Retrieved from https://psnet.ahrq.gov/primer/detection-safety-hazards

Agency for Healthcare Research and Quality. (2019d). Root cause analysis. Retrieved from https://psnet.ahrq.gov/primer/root-cause-analysis

Patient Safety Movement. (n.d.). Patient story: Lewis Blackman. Retrieved from https://patientsafetymovement.org/advocacy/patients-and-families/patient-stories/lewis-blackman/

Johnson, J., Haskell, H., & Barach, P. (2009). Lewis’ story—It’s hard to kill a healthy 15-year-old. Retrieved from http://www.healthwatchusa.org/conference2013/PDF-Downloads/Haskell-Lewis_Blackman_Story.pdf

Institute for Healthcare Improvement. (n.d.b). Noah’s story: Are you listening? Retrieved from http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/NoahsStoryAreYouListening.aspx

Ricciardi, R., & Shofer, M. (2019). Nurses and patients: Natural partners to advance patient safety. Journal of Nursing Care Quality, 34(1), 1–3. doi:10.1097/NCQ.0000000000000377

Agency for Healthcare Research and Quality. (2019e). Systems approach. Retrieved from https://psnet.ahrq.gov/primer/systems-approach

Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Burlington, MA: Jones and Bartlett.

• Chapter 3, “Integrating Implementation Science Approaches Into Continuous Quality Improvement” (pp. 50–105)

Stausmire, J. M., & Ulrich, C. (2015). Making it meaningful: Finding quality improvement projects worthy of your time, effort, and expertise. Critical Care Nurse, 35(6), 57–61. Retrieved from https://www.aacn.org/docs/cemedia/C1563. The Global Evolution of Continuous Quality Improvement Essay Paper