Clinical issue that is the focus of the Quality Improvement Project.

by | Feb 18, 2025 | Human Resource Management

 

to assess a clinical issue that is the focus of the Quality Improvement Project.
Evaluate the clinical project.
Create an outline of the action plan for the project.
A description of the clinical issue to be addressed in the project.
A SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. Analysis of the strengths, weaknesses, opportunities, and threats related to the quality improvement process.
An outline of the action plan for the project.
An assessment of clinical issue that is the focus of the quality improvement project.
Discuss stakeholders and decision makers who need to be involved in the quality improvement project.
Discuss resources including budget, personnel and time needed for the quality improvement project.
Discuss potential strategies for implementation and evaluation.
Identify stakeholders that will be impacted by the quality improvement project.
Identify and discussed resources including budget needed to implement the quality improvement project.
Develop an action plan for change including a proposed implementation time line

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Let’s outline a Quality Improvement (QI) project focusing on improving medication reconciliation accuracy at hospital discharge. This is a common clinical issue that can lead to adverse drug events and readmissions.

1. Assessment of the Clinical Issue:

  • Problem: Inaccurate medication reconciliation at discharge, leading to discrepancies between the patient’s home medications and the discharge medication list. This can result in medication errors, adverse drug events, and hospital readmissions.
  • Impact: Increased patient harm, higher healthcare costs, decreased patient satisfaction, and potential legal implications.

Let’s outline a Quality Improvement (QI) project focusing on improving medication reconciliation accuracy at hospital discharge. This is a common clinical issue that can lead to adverse drug events and readmissions.

1. Assessment of the Clinical Issue:

  • Problem: Inaccurate medication reconciliation at discharge, leading to discrepancies between the patient’s home medications and the discharge medication list. This can result in medication errors, adverse drug events, and hospital readmissions.
  • Impact: Increased patient harm, higher healthcare costs, decreased patient satisfaction, and potential legal implications.
  • Current State: Baseline data collection will be crucial. This might involve reviewing a sample of discharge medication reconciliations for accuracy, tracking readmission rates related to medication errors, and surveying patient understanding of their discharge medications.

2. SWOT Analysis:

  • Strengths:
    • Existing electronic health record (EHR) system.
    • Motivated nursing and pharmacy staff.
    • Preliminary data suggesting a problem exists.
  • Weaknesses:
    • Current reconciliation process is time-consuming and prone to errors.
    • Lack of standardized procedures across departments.
    • Insufficient staff training on best practices.
  • Opportunities:
    • Implementing a standardized, EHR-integrated medication reconciliation tool.
    • Developing a dedicated medication reconciliation team.
    • Utilizing patient education resources and technology.
  • Threats:
    • Resistance to change from some staff members.
    • Budget constraints.
    • Time limitations for training and implementation.

3. Stakeholders and Decision Makers:

  • Key Stakeholders: Patients, physicians, nurses, pharmacists, hospital administrators, IT staff, quality improvement team.
  • Decision Makers: Hospital administration, pharmacy director, nursing director, physician representatives, quality improvement team lead.

4. Resources:

  • Budget: Funds for EHR software upgrades (if needed), training materials, printing, and potential consultant fees.
  • Personnel: Dedicated time for nurses, pharmacists, and physicians involved in the project, IT support for EHR modifications, and a project manager.
  • Time: Timeline for data collection, intervention implementation, and evaluation (e.g., 6 months).

5. Potential Strategies for Implementation and Evaluation:

  • Implementation:
    • Develop a standardized medication reconciliation protocol.
    • Integrate a medication reconciliation tool within the EHR.
    • Provide comprehensive training to all staff involved.
    • Implement a pilot program in a specific unit.
    • Monitor adherence to the new protocol.
  • Evaluation:
    • Track the accuracy of medication reconciliation at discharge.
    • Measure readmission rates related to medication errors.
    • Survey patient understanding of their discharge medications.
    • Assess staff satisfaction with the new process.
    • Conduct cost-benefit analysis.

6. Impacted Stakeholders:

  • Patients: Improved medication safety and understanding.
  • Nurses: Streamlined workflow and reduced workload.
  • Pharmacists: More efficient medication reconciliation process.
  • Physicians: Better medication management and reduced readmissions.
  • Hospital: Improved quality of care and reduced costs.

7. Action Plan Outline & Implementation Timeline (Example):

Phase Activity Timeline Responsible Party
Phase 1: Planning (2 months) Form QI team Month 1 QI Team Lead
Conduct literature review Month 1 QI Team Lead
Baseline data collection Month 1-2 Data Analyst
Develop standardized protocol Month 2 Pharmacy & Nursing
Secure budget approval Month 2 Hospital Administration
Phase 2: Implementation (3 months) EHR modifications (if needed) Month 2-3 IT Staff
Staff training Month 3 Training Team
Pilot program (e.g., one unit) Month 3-4 Unit Staff
Evaluate pilot program & refine Month 4 QI Team
Full-scale implementation Month 5 All Staff
Phase 3: Evaluation (1 month) Post-implementation data collection Month 5-6 Data Analyst
Analyze data Month 6 QI Team
Report findings & recommendations Month 6 QI Team Lead

8. Addressing Ethical Considerations:

  • Data Privacy: Ensure all patient data is anonymized and handled confidentially.
  • Informed Consent: If patient surveys are used, obtain informed consent.
  • Transparency: Communicate the project’s goals and methods to all stakeholders.

This outline provides a framework. The specifics will need to be tailored to the individual hospital’s context, resources, and patient population. Regular monitoring and adjustments to the plan are crucial for successful QI projects.

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