Description
Week 6
Practice Problem Analysis and Presentation
ASSIGNMENT
PURPOSE
The purpose of this assignment is to critically evaluate a practice problem idea you identified. This assignment builds on the Week 4 assignment. Information used in the Week 4 assignment may be used as a basis for this assignment. The goal is to develop a deeper understanding of the identified practice problem idea, using two continuous quality improvement tools, specifically, a Failure Mode and Effects Analysis (FMEA) and an Ishikawa (fishbone) cause and effect diagram to analyze, improve, and mitigate related risks. This assignment will allow you to apply competencies through sequential development of workflow steps in relation to an identified practice problem idea and promotion of presentation skills. Assignment content supports professional formation, communication, and dissemination skills relevant to the DNP-prepared nurse.
INSTRUCTIONS
This assignment has four components:
Identified practice problem idea in PICOT format
Failure Mode and Effects Analysis
Ishikawa (Fishbone) cause and effect diagram
Professional PowerPoint with speaker notes at the bottom of each slide to disseminate information
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
Consider the identified practice problem idea used in the Week 4 translation science project including PICOT, background, and significance. Incorporate course faculty feedback from the Week 4 assignment.
Review the examples of the failure mode and effects analysis and fishbone diagram in the Week 4 Explore section of the course called Evidence-Based Practice: Improving Outcomes.
Download the required documents inserted in the guidelines:
Link (PPT): PowerPoint TemplateLinks to an external site.
Link (Word doc): Failure Mode and Effects Analysis TemplateLinks to an external site.
Link (Word doc): Ishikawa Fishbone Template ALinks to an external site. (Word 2016 or higher)
Link (Word doc): Ishikawa Fishbone Template BLinks to an external site. (older version of Word)
Complete the failure mode and effects analysis and then the Ishikawa fishbone diagram. The Ishikawa fishbone diagram requires Word 2016 to download. If you do not have the Word 2016 version, you may update your current version of Word (click on the following link for instructions: Office 365Links to an external site.) or use the alternative version provided or create your own fishbone diagram as long as you are addressing the five areas:
People
Environment
Materials
Methods
Equipment
Create the PowerPoint Presentation.
The assignment should include the following components. Use the templates provided for the assignment.
Introduction (1 slide)
Title of Practice Problem Analysis Presentation
Student Name
Assignment Title
Course Faculty Name
Practice Problem Identification (1-3 slides)
State identified practice problem as a PICOT question in question format.
Identify all PICOT components.
Describe the background and significance of the identified practice problem idea (cited).
Develop inclusion criteria for the population of interest.
Develop exclusion criteria for the population of interest.
Failure Mode and Effects Analysis (1-2 slides)
Identify three steps in the identified practice problem idea process with potential breakdown or process gaps.
Identify at least one potential error (failure mode) for each of the three process steps.
Identify at least one possible cause of failure (failure cause) for each of the three process steps.
Identify at least one adverse consequence (failure effect) for each of the three process steps.
Using a scale 1-10, rate likelihood of occurrence of failure for each process step.
Using a scale 1-10, rate likelihood of detection of failure for each process step.
Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step.
Calculate the Risk Profile Number (Multiply likelihood of occurrence X likelihood of detection X likelihood of severity or harm).
Summarize FMEA analysis.
Note: The following article has scoring guidelines for FMEA ratings which may be helpful.
Warnick, R. E., Lusk, A. R., Thaman, J. J., Levick, E. H., & Seitz, A. D. (2020). Failure mode and effects analysis (FMEA) to enhance safety and efficiency of Gamma Knife Radiosurgery.Links to an external site. Journal of Radiosurgery and SBRT, 7, 115-125.
Ishikawa (Fishbone) Cause and Effect Diagram (1-2 slides)
Identify people involved in the identified practice problem idea.
Identify the environment in which the identified practice problem idea occurs.
Identify the materials used.
Identify the methods used.
Identify the equipment used.
Summarize cause and effect analysis.
Evidence-Based Intervention (1 -2 slides)
Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT).
Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses.
Discuss feasibility of the evidence-based intervention.
Conclusion (1 slide)
Summarize the purpose and findings of the analysis.
Provide and justify the main conclusions.
Draw inferences from the quality improvement analysis.
References (1 slide)
Include in-text citations used in the presentation.
Provide complete matching references in correct APA format.
Include minimum of four scholarly sources.
WRITING REQUIREMENTS
Length: Maximum of 14 slides
Standard English usage and mechanics
APA format guidelines for in-text citation and references
Clear, succinct, and readable slides
Elaboration on the slide questions
Speaker notes section with legible comprehensive notes for each slide
GRADUATE RE-PURPOSE POLICY
The late assignment policy and the reuse repurpose policy (located in the student handbook) apply to this assignment.
PROGRAM COMPETENCIES
This assignment enables the student to meet the following program competencies:
Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
Appraises current information systems and technologies to improve health care. (POs 6, 7)
COURSE OUTCOMES
This discussion enables the student to meet the following course outcomes:
Assess the impact of informatics and information technology on organizational systems, change, and improvement. (PCs 2, 4; PO 6)
Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PC 4; PO 7)
Appraise consumer health information sources for accuracy, timeliness, and appropriateness. (PC 4; PO 7)
Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PCs 2, 4; PO 6)
Unformatted Attachment Preview
Jour. of Radiosurgery and SBRT, Vol. 7, pp. 115-125
Reprints available directly from the publisher
Photocopying permitted by license only
© 2020 Old City Publishing, Inc.
Published by license under the OCP Science imprint,
a member of the Old City Publishing Group.
Clinical Investigation
Failure mode and effects analysis (FMEA) to enhance the safety and
efficiency of Gamma Knife radiosurgery
Ronald E. Warnick, MD1,4, Amy R. Lusk, MSN4, John J. Thaman, MS2,4, Elizabeth H. Levick, MD3,4 and
Andrew D. Seitz, BSN5
Mayfield Clinic, Cincinnati, OH, USA
Medical Radiation Physics, Inc., Cincinnati, OH, USA
3
Oncology Hematology Care, Jewish Hospital–Mercy Health, Cincinnati, OH, USA
4
Gamma Knife Center, Jewish Hospital–Mercy Health, Cincinnati, OH, USA
5
Department of Quality, Jewish Hospital–Mercy Health, Cincinnati, OH, USA
1
2
Correspondence to: Ronald E. Warnick, MD, Mayfield Clinic, 3825 Edwards Road, Suite 300, Cincinnati, OH 45209, USA.
Email: nsgymd@mac.com
(Received: January 13, 2020; Accepted: June 25, 2020)
ABSTRACT
This risk analysis describes our Failure Mode and Effects Analysis (FMEA) for Gamma Knife
stereotactic radiosurgery at our community hospital. During bi-monthly meetings over 5 months,
our FMEA team mapped a detailed Gamma Knife process tree and identified potential failure modes,
each were scored a Risk Priority Number (RPN) for severity, occurrence, detectability. In our
process tree of 14 subprocesses and 177 steps, we identified 31 potential failure modes: 7 high
scoring (RPN ≥150) and 3 modes (
Purchase answer to see full
attachment
