Collaborate on Quality

Prepare an issue analysis of an incident that occurred in a health care organization and create a leadership action plan (8-10 pages) that will help to address the specific incident but will also help to drive safety and quality improvements throughout the organization.

SCORING GUIDE MUST BE FOLLOWED TO THE LETTER

Resources:

Collaboration and Teamwork

• ASQ. (n.d.). Teams. Retrieved from http://asq.org/learn-about-quality/teams/overview/…
• Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2016). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system [PDF]. Journal of Patient Safety. Manuscript published ahead of print.
• Health Care Administration Undergraduate Library Research Guide.
• National Association for Healthcare Quality. (2011). NAHQ code of ethics and standards of practice. Retrieved from https://nahq.org/about/code-of-ethics
• U.S. Department of Health and Human Services Health Resources and Services Administration. (n.d.). Improvement teams [PDF]. Retrieved from https://www.hrsa.gov/sites/default/files/quality/t…

The IHI Triple Aim

You may find it useful to revisit these suggested resources from Assessment 1 on the IHI Triple Aim as you formulate your thinking around the IHI Triple Aim section of your analysis and leadership action plan:

• Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27(3), 759–769.
• Institute for Healthcare Improvement. (2018). IHI triple aim initiative. Retrieved from http://www.ihi.org/Engage/Initiatives/TripleAim/Pa…

Quality Improvement Tools

• CQI Importance and Features [PDF].
• Gillam, S., & Siriwardena, A. N. (2013). Frameworks for improvement: Clinical audit, the plan-do-study-act cycle and significant event audit. Quality in Primary Care, 21(2), 123–130.
• Kovach, J. V., Revere, L., & Black, K. (2013). Error proofing healthcare: An analysis of low cost, easy to implement and effective solutions. Leadership in Health Services, 26(2), 107–117.
• Millar, R. (2013). Framing quality improvement tools and techniques in healthcare. Journal of Health Organization and Management, 27(2), 209–224.

Culture

• Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2016). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system [PDF]. Journal of Patient Safety. Manuscript published ahead of print.
• Frank-Cooper, M. (2014). The justice behind a just culture. Nephrology Nursing Journal, 41(1), 87–88.
• Miranda, S., Jr., & Olexa, G. A. (2013). Creating a just culture. Pennsylvania Nurse, 68(4), 4–10.
• Stevens, M. (2014). Just culture: A fairer way to improve care. Healthcare Leadership Review, 33(7), 8–10.
• Institute for Healthcare Improvement. (2015). What is a culture of safety? [Video] | Transcript. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resourc…