Translating Evidence Into Practice Discussion NR 706

Translating Evidence Into Practice Discussion NR 706

Week 4 Translating Evidence Into Practice Discussion

Purpose

The purpose of this discussion is for you to evaluate a National Practice Problem within the context of your practice problem idea and technology expansion within your healthcare setting.

Instructions

Select one leading National Practice Problem that is prevalent in your patient population or healthcare setting and address the following:

1. Describe an issue related to the National Practice Problem you selected that is impacting quality, safety, or financial outcomes at your practice setting.
2. Elaborate how technology such as the electronic medical record might assist in implementing, evaluating, or sustaining an evidence-based intervention to address the identified problem.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): Graduate Discussion Grading Guidelines and RubricLinks to an external site.

Program Competencies

This discussion enables the student to meet the following program competencies:

2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. 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:

2. Use information technology to collect and analyze data to generate evidence-based nursing practice across healthcare settings. (PC 4; PO 7)
3. Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PC 4; PO 7)
4. Evaluate the types of healthcare information systems, knowledge-based systems, and patient care technology and the impact on patient safety, quality of care, and outcome measurement. (PC 4; PO 7)
5. Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PCs 2, 4; PO 6)

Due Dates

• Initial Post: By 11:59 p.m. MT on Wednesday
• Follow-Up Posts: By 11:59 p.m. MT on Sunday

Week 4 References

Harris, C., Garrubba, M., Melder, A., Voutier, C., Waller, C., King, R., & Ramsey, W. (2018). Sustainability in healthcare by allocating resources effectively (SHARE) 8: Developing, implementing and evaluating an evidence dissemination service in a local healthcare setting. BMC Health Services Research, 18(1), 151. https://doi.org/10.1186/s12913-018-2932-1

McBride, S., & Tietze, M. (2023). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (3rd ed.). Springer Publishing Company.

Otitigbe, J. (2017). Fishbone facilitation reflection: Team-based cause-and-effect study can point the way to the real problem. ISE: Industrial & Systems Engineering at Work, 49(7), 48-51.

Reed, J. E., Howe, C., Doyle, C., & Bell, D. (2018). Simple rules for evidence translation in complex systems: A qualitative study. BMC Medicine, 16(1) 92. https://doi.org/10.1186/s12916-018-1076-9

Schaefer, J. D., & Welton, J. M. (2018). Evidence-based practice readiness: A concept analysis. Journal of Nursing Management, 26(6), 621-629. https://doi.org/10.1111/jonm.12599

Warnick, R. E., Lusk, A. R., Thaman, J. L., Levick, A. H., & Seitz, A. D. (2020). Failure mode and effect analysis (FMEA) to enhance safety and efficiency of Gamma Knife radiosurgery. Journal of Radiosurgery and SBRT, 7(2), 115-125.

NR 706 Week 4 Translation Science Project Assignment

Purpose

The purpose of this assignment is to identify a practice problem idea and an evidence-based intervention to address the practice problem idea. Data management is essential to drive actions and decisions to improve healthcare outcomes. The content will support the formulation of a literature synthesis related to your practice problem idea, which supports professional formulation, communication, and dissemination skills relevant to the DNP-prepared nurse.

Instructions

In order to create flexible options, we are providing you options on this assignment. Concept maps are an effective way to express complex ideas, especially for visual learners. For this assignment, each of the following sections may be presented either as a narrative or concept map:

• Practice Problem and PICOT Question
• Evidence Synthesis of Literature
• Data Driven Decision Making

Please note you are not required to complete any or all of the sections identified as conceptual maps. If you choose to use a concept map for a section, it should be created in Microsoft Word using Smart Art and placed in that section of the paper under the associated first level heading. The concept map must meet all the requirements outlined in the assignment rubric for each section. The rubric and page length are unchanged.

 Concept Map Resources

If you need additional information on concept maps and how to create a concept map in Microsoft Word, review the following resources:

• Link (article): Effects of Web-Based Concept Mapping Education on Students’ Concept Mapping and Critical Thinking Skills: A Double-Blind, Randomized, Controlled StudyLinks to an external site.

Concept Map (2:48) Information:

As a leader, how you manage, and present information may vary depending upon the project, stakeholders, and goals. One approach to present information to gain support for projects is with visual aids such as a concept map. A concept map organizes and displays knowledge in a graphical manner to show relationships between different concepts. By showing interrelationships, concept maps help engage and heighten problem solving. 

One way to construct a concept map is by using Word and its graphic art capabilities known as Smart Art. – Open a blank Word document. – Go to the toolbar. – Select Insert. – Select Smart Art. Select the graphic shape you think most accurately reflects the information you want to share. Let’s say the topic is related to Maslow’s Hierarchy of Needs. You know it is usually presented as a pyramid. So you select Pyramid from the SmartArt options. 

Once selected, it is placed on your Word document for editing. The Smart Art tool allows you to identify three sections of the pyramid. But Maslow’s Hierarchy has five levels, so you need to add two levels to the basic design. Place the cursor in the text box, right click, copy, and paste into position. You now should have four textboxes for the pyramid. Repeat the step to have five textboxes. Then, enter your labels inside each text box. This is one example to illustrate the ease of using Word Smart Art to create a concept map. 

Again, the concept map design depends upon the concepts of interest. Let’s try one more. You want to make a concept map of the three sciences integrated into nursing informatics: computer science, information science, and nursing science. – Open the Word document. – Go to Insert. – Select Smart Art. – Select Relationships, – Select Basic Venn Diagram. Click on the text boxes and enter Nursing Science in the top circle, then Computer Science and Information Science. 

Once you have identified a shape from Smart Art, in addition to adding or deleting parts of the graphic, you can change the location of parts of the graphic as well. Left click the part of the graphic you want to move and drag to a new location. You can connect with lines or arrows by going to the Toolbar and selecting, Insert and then Shapes. These are some basic examples of how to create a concept map. Follow the assignment instructions and use the rubric to guide your creation of the concept map.

Additionally, review the conceptual maps section in the current APA manual.

The assignment should include the following components. Contact course faculty for questions.

1. Introduction
   1. Develop a focused one-sentence purpose statement.
   2. Explain the selected practice problem idea in general terms (cited).
2. Practice Problem and Question (Narrative or Conceptual Map)
   1. Discuss the significance of the practice problem idea (cited).
   2. Discuss the prevalence of the practice problem idea (cited).
   3. Discuss the economic ramifications of the practice problem idea (cited).
   4. Identify an evidence-based intervention to address the selected practice problem idea (cited).
   5. Construct the practice problem PICOT in question format.
3. Evidence Synthesis of the Literature (Narrative or Conceptual Map)
   1. Discuss the scope of evidence including databases searched and keywords.
   2. Compare and contrast main points from the evidence integrated in a cohesive manner (cited).
   3. Provide objective rationale for the evidence-based intervention to address the practice problem idea. (cited).
4. Data-Driven Decision-Making (Narrative or Conceptual Map)
   1. Describe the source of the evidence (i.e., internal data to support the need for change at practicum site to improve outcomes and/or nursing practice. Example: incident reports, readmission rates, infection rates, etc.).
   2. Identify how the use of information technologies potentially influence data capture, process improvement, evaluation, and patient outcomes related to your practice problem idea.
5. Conclusion (Write one concise paragraph.)
   1. Summarize the impact of the practice problem idea.
   2. Summarize the role of the evidence-based intervention to address the practice problem idea.
6. References
   1. Identify and list four scholarly sources used in evidence synthesis on the reference pages.
   2. Identify and list other scholarly sources used in the paper on the reference pages.
   3. List scholarly sources in alphabetical order.
   4. Use correct hanging-indent format.
7. Appendix: Summary Table of the Evidence
   1. Attach the completed John Hopkins Nursing Evidence-Based Practice Individual Evidence Summary Tool.
      • Link (Word doc): John Hopkins Nursing Evidence-Based Practice Individual Evidence Summary ToolLinks to an external site.
   2. Provide a minimum of four research studies.
   3. Complete all sections completely for the four sources of evidence.
   4. Identify both the quality and level of evidence for each scholarly source on the table.

Level I Headings for the Assignment

• Practice Problem and Question
• Evidence Synthesis of the Literature
• Data-Driven Decision Making
• Conclusion
• References
• Appendix: Summary Table of the Evidence

Writing Requirements (APA format)

• Length: 6-8 pages (not including title page or references page)
• 1-inch margins
• Double-spaced pages
• 12-point Times New Roman or 11-point Arial font
• Headings & subheadings
• In-text citations
• Title page
• Reference page
• Standard English usage and mechanics

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:

2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. Appraises current information systems and technologies to improve health care. (POs 6, 7)

Course Outcomes

This assignment enables the student to meet the following course outcomes:

2. Use information technology to collect and analyze data to generate evidence-based nursing practice across healthcare settings. (PC 4; PO 7)
3. Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PC 4; PO7)
4. Evaluate the types of healthcare information systems, knowledge-based systems, and patient care technology and the imp act on patient safety, quality of care, and outcome measurement. (PC 4; PO 7)
5. Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PCs 2, 4; PO 6)

Due Date

• By 11:59 p.m. MT on Sunday
• Late Assignment Policy applies

Rubric W4 Assignment Grading Rubric

W4 Assignment Grading Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeIntroduction Requirements: 1. Develop a focused one-sentence purpose statement. 2. Explain the selected practice problem idea in general terms (cited).	10 pts Includes all requirements and provides an excellent introduction. 9 pts Includes fewer than all requirements and/or provides a very good introduction. 8 pts Includes fewer than all requirements and/or provides a basic introduction. 0 pts Includes 1 or fewer requirements and/or provides a poor introduction.	10 pts
This criterion is linked to a Learning OutcomePractice Problem and Question (Narrative or Conceptual Map) Requirements: 1. Discuss the significance of the practice problem idea (cited). 2. Discuss the prevalence of the practice problem idea (cited). 3. Discuss the economic ramifications of the practice problem idea (cited). 4. Identify an evidence-based intervention to address the selected practice problem idea (cited). 5. Construct the practice problem PICOT in question format.	70 pts Includes all requirements and provides an excellent description of the practice problem and question. 63 pts Includes fewer than all requirements and/or provides a very good description of the practice problem and question. 56 pts Includes fewer than all requirements and/or provides a basic description of the practice problem and question. 0 pts Includes fewer than all requirements and/or provides a poor description of the practice problem and question.	70 pts
This criterion is linked to a Learning OutcomeEvidence Synthesis of the Literature (Narrative or Conceptual Map) Requirements: 1. Discuss the scope of evidence including databases searched and keywords. 2. Compare and contrast main points from the evidence integrated in a cohesive manner (cited). 3. Provide objective rationale for the evidence-based intervention to address the practice problem.	70 pts Includes all requirements and provides an excellent evidence synthesis of the literature. 63 pts Includes fewer than all requirements and/or provides a very good evidence synthesis of the literature. 56 pts Includes fewer than all requirements and/or provides a basic evidence synthesis of the literature. 0 pts Includes fewer than all requirements and/or provides a poor evidence synthesis of the literature.	70 pts
This criterion is linked to a Learning OutcomeData-Driven Decision-Making (Narrative or Conceptual Map) Requirements: 1. Describe the source of the evidence (i.e., internal data to support the need for change at practicum site to improve outcomes and/or nursing practice. Example: incident reports, readmission rates, infection rates, etc.). 2. Identify how the use of information technologies potentially influence data capture, process improvement, evaluation, and patient outcomes related to your practice problem idea.	70 pts Includes all requirements and provides an excellent summary of data-driven decision-making. 63 pts Includes fewer than all requirements and/or provides a very good summary of data-driven decision-making. 56 pts Includes fewer than all requirements and/or provides a basic summary of data-driven decision-making. 0 pts Includes fewer than all requirements and/or provides a poor summary of data-driven decision-making.	70 pts
This criterion is linked to a Learning OutcomeConclusion (1 concise paragraph) Requirements: 1. Summarize the impact of the practice problem idea. 2. Summarize the role of the evidence-based intervention to address the practice problem idea.	10 pts Includes all the requirements and provides an excellent conclusion. 9 pts Includes fewer than all requirements and/or provides a very good conclusion. 8 pts Includes fewer than all requirements and/or provides a basic conclusion. 0 pts Includes fewer than all requirements and/or provides a poor conclusion.	10 pts
This criterion is linked to a Learning OutcomeReferences Requirements 1. Identify and list four scholarly sources used in evidence synthesis on the reference pages. 2. Identify and list other scholarly sources used in the paper on the reference pages. 3. List scholarly sources in alphabetical order. 4. Use correct hanging-indent format.	20 pts Includes all requirements and provides excellent references. 18 pts Includes fewer than all requirements and/or provides very good references. 16 pts Includes fewer than all requirements and/or provides basic references. 0 pts Includes one or fewer requirements and/or provides poor references.	20 pts
This criterion is linked to a Learning OutcomeAPA Style and Organization for Scholarly Papers Requirements: 1. Uses Level I headers. 2.References and citations are proper APA (current version). 3.Length of APA formatted paper is 6-8 pages (excluding title page and references).	15 pts Includes all requirements and presents excellent APA style and organization. 14 pts Includes fewer than all requirements and/or very good APA style and organization. 12 pts Includes fewer than all requirements and/or provides basic APA style and organization. 0 pts Includes one or fewer requirements and/or provides poor APA style and organization.	15 pts
This criterion is linked to a Learning OutcomeClarity of Writing Requirements: 1. Use of standard English grammar and sentence structure. 2. No spelling errors or typographical errors.	15 pts Includes all requirements and demonstrates excellent clarity of writing. 14 pts Includes fewer than all requirements and/or demonstrates very good clarity of writing. 12 pts Includes fewer than all requirements and/or demonstrates basic clarity of writing. 0 pts Includes 1 or fewer requirements and/or demonstrates poor clarity of writing.	15 pts
This criterion is linked to a Learning OutcomeAppendix: Summary Table of the Evidence Requirements: 1. Attach the completed John Hopkins Nursing Evidence-Based Practice Individual Evidence Summary Tool. 2. Provide a minimum of four research studies. 3. Complete all sections completely for the four sources of evidence. 4. Identify both the quality and level of evidence for each scholarly source on the table.	20 pts Includes all requirements and provides an excellently completed summary tool. 18 pts Includes fewer than all requirements and/or provides a very well completed summary tool. 16 pts Includes fewer than all requirements and/or a basically completed summary tool. 0 pts Includes no requirements and/or provides a poorly completed summary tool.	20 pts
Total Points: 300

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NR 706 Week 5: Patient Safety and Quality Outcomes in an Era of Value-Based Care

Week 5 References

Abraham, M., & McGann, P. (2019). Contribution of the transforming clinical practice initiative in advancing the movement to value-based care. Annals of Family Medicine, 17(1), s6-s8. https://doi.org/10.1370/afm.2425

Agency for Healthcare Research and Quality. (2016). National quality strategy stakeholder’s toolkit. https://www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf

Agency for Healthcare Research and Quality. (2020). Six domains of healthcare quality. https://www.ahrq.gov/talkingquality/measures/six-domains.html

Centers for Medicare & Medicaid Services. (2020). Electronic clinical quality measure basics. https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/ClinicalQualityMeasures

National Quality Strategy. (2017). Agency for healthcare research and quality. https://www.ahrq.gov/workingforquality/about/index.html

NR 706 Week 5 Patient Safety and a Culture of Safety Discussion

Purpose

The purpose of this discussion is for you to explore your healthcare setting culture and the shifting paradigm from volume-based care to value-based care within the context of patient safety.

Instructions

A paradigm shift is occurring across the United States from volume-based to value-based care. Reflect upon your organizational culture to address the following:

1. Analyze and assess the culture of your healthcare setting as it relates to patient safety.
2. Examine one opportunity to improve patient safety outcomes. Include in your strategy current technology being used to support safety and explain the importance of interprofessional collaboration to help promote a safer environment.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): Graduate Discussion Grading Guidelines and RubricLinks to an external site.

Program Competencies

This discussion enables the student to meet the following program competencies:

2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. 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:

1. Assess the impact of informatics and information technology on organizational systems, change, and improvement. (PCs 2, 4; PO 6)
2. Evaluate the types of healthcare information systems, knowledge-based systems, and patient care technology and the impact on patient safety, quality of care, and outcome measurement. (PC 4; PO 7)

Due Dates

• Initial Post: By 11:59 p.m. MT on Wednesday
• Follow-Up Posts: By 11:59 p.m. MT on Sunday

NR 706 Week 6: Health Information Privacy, Confidentiality, Security, and Ethics

Week 6 References

Alvarez, Y., Leguizamon-Paez, M., & Londono, T. (2021). Risks and security solutions existing in the internet of things (IoT) in relation to big data. Telematics Engineering, 23(1), 1-13. https://doi.org/10.25100/iyc.23:1.9484

Department of Health and Human Services. (2019). Health information privacy: Numbers at a glance. https://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/data/numbers-glance/index.html

McBride, S., & Tietze, M. (2023). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (3rd ed.). Springer Publishing Company.

Week 6 Health Privacy Breach Discussion

Purpose

The purpose of this discussion is for you to investigate healthcare privacy breaches and the associated risks and the ethical and legal issues confronted as a DNP-prepared nurse. Privacy breaches are serious offenses that negatively affect the trust between nurses and patients. To maintain this trust, nurses must maintain the privacy and security of patient information.

Instructions

Reflect on the following scenarios related to the protection of health information. Select two of the scenarios to discuss.

• Scenario 1: A staff nurse posted the following comment on her social media page: “Can this shift be any longer? It started out with a waiting room full of nagging people who don’t seem to know what ‘emergency’ means. Then, I had to deal with the drama of trying to transfer a 400 lbs. (no joke) intubated chronic obstructive pulmonary disease patient down the hall to the intensive care unit. Those intensive care unit nurses are such divas, and I wasn’t in the mood for their whining. Someone help!”
  • Analyze the privacy and security issues related to this social media posting.
• Scenario 2: A nurse practitioner is preparing a presentation poster for an infectious disease conference. She includes pictures of varying stages of a client’s lesions in the poster.
  • Analyze the privacy and security issues related to the inclusion of patient information on the poster.
• Scenario 3:A clinical instructor is working with nursing students on a medical unit for the day. While rounding to check on students, the instructor discovers a patient’s daughter wants to take a picture of the nursing student and the patient together to post on social media.
  • Analyze the privacy and security issues and explain the best response for the clinical instructor.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): Graduate Discussion Grading Guidelines and RubricLinks to an external site.

Program Competencies

This discussion enables the student to meet the following program competencies:

2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. 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:

1. Assess the impact of informatics and information technology on organizational systems, change, and improvement. (PCs 2, 4; PO 6)
2. Appraise consumer health information sources for accuracy, timeliness, and appropriateness. (PC 4; PO 7)
3. Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PCs 2, 4; PO 6)

Due Dates

• Initial Post: By 11:59 p.m. MT on Wednesday
• Follow-Up Posts: By 11:59 p.m. MT on Sunday

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:

1. Identified practice problem idea in PICOT format
2. Failure Mode and Effects Analysis
3. Ishikawa (Fishbone) cause and effect diagram
4. 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.

1. 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.
2. 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.
3. Download the required documents inserted in the guidelines:
   1. Link (PPT): PowerPoint TemplateLinks to an external site.
   2. Link (Word doc): Failure Mode and Effects Analysis TemplateLinks to an external site.
   3. Link (Word doc): Ishikawa Fishbone Template ALinks to an external site.(Word 2016 or higher)
   4. Link (Word doc): Ishikawa Fishbone Template BLinks to an external site.(older version of Word)
4. 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:
   1. People
   2. Environment
   3. Materials
   4. Methods
   5. Equipment
5. Create the PowerPoint Presentation.

The assignment should include the following components. Use the templates provided for the assignment.

1. Introduction (1 slide)
   1. Title of Practice Problem Analysis Presentation
   2. Student Name
   3. Assignment Title
   4. Course Faculty Name
2. Practice Problem Identification (1-3 slides)
   1. State identified practice problem as a PICOT question in question format.
   2. Identify all PICOT components.
   3. Describe the background and significance of the identified practice problem idea (cited).
   4. Develop inclusion criteria for the population of interest.
   5. Develop exclusion criteria for the population of interest.
3. Failure Mode and Effects Analysis (1-2 slides)
   1. Identify three steps in the identified practice problem idea process with potential breakdown or process gaps.
   2. Identify at least one potential error (failure mode) for each of the three process steps.
   3. Identify at least one possible cause of failure (failure cause) for each of the three process steps.
   4. Identify at least one adverse consequence (failure effect) for each of the three process steps.
   5. Using a scale 1-10, rate likelihood of occurrence of failure for each process step.
   6. Using a scale 1-10, rate likelihood of detection of failure for each process step.
   7. Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step.
   8. 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.

4. Ishikawa (Fishbone) Cause and Effect Diagram (1-2 slides)
   1. Identify people involved in the identified practice problem idea.
   2. Identify the environment in which the identified practice problem idea occurs.
   3. Identify the materials used.
   4. Identify the methods used.
   5. Identify the equipment used.
   6. Summarize cause and effect analysis.
5. Evidence-Based Intervention (1 -2 slides)
   1. Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT).
   2. Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses.
   3. Discuss feasibility of the evidence-based intervention.
6. Conclusion (1 slide)
   1. Summarize the purpose and findings of the analysis.
   2. Provide and justify the main conclusions.
   3. Draw inferences from the quality improvement analysis.
7. References (1 slide)
   1. Include in-text citations used in the presentation.
   2. Provide complete matching references in correct APA format.
   3. 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:

2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. 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:

1. Assess the impact of informatics and information technology on organizational systems, change, and improvement. (PCs 2, 4; PO 6)
2. Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PC 4; PO 7)
3. Appraise consumer health information sources for accuracy, timeliness, and appropriateness. (PC 4; PO 7)
4. Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PCs 2, 4; PO 6)

Due Date

• By 11:59 p.m. MT on Sunday
• Late Assignment Policy applies

W6 Assignment Grading Rubric

W6 Assignment Grading Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeIntroduction (1 slide) Requirements: a. Title of Practice Problem Analysis Presentation b. Student Name c. Assignment Title d. Course Faculty Name	10 pts Includes all requirements and provides an excellent introduction. 9 pts Includes fewer than all requirements and/or provides a very good introduction. 8 pts Includes fewer than all requirements and/or provides a basic introduction. 0 pts Includes fewer than all requirements and/or provides a poor introduction.	10 pts
This criterion is linked to a Learning OutcomePractice Problem Identification (1-3 slides) Requirements: a. State identified practice problem as a PICOT question in question format. b. Identify all PICOT components. c. Describe the background and significance of the identified practice problem (cited). d. Develop inclusion criteria for the population of interest. e. Develop exclusion criteria for the population of interest.	50 pts Includes all requirements and provides an excellent description of the practice problem and question. 45 pts Includes fewer than all requirements and/or provides a very good description of the practice problem and question. 40 pts Includes fewer than all requirements and/or provides a basic description of the practice problem and question. 0 pts Includes fewer than all requirements and/or provides a poor description of the practice problem and question.	50 pts
This criterion is linked to a Learning OutcomeFailure Mode and Effects Analysis (1-2 slides) Requirements: a. Identify three steps in the identified practice problem idea process with potential breakdown or process gaps. (1-2 slides) b. Identify at least one potential error (failure mode) for each of the three process steps. c. Identify at least one possible cause of failure (failure cause) for each of the three process steps. d. Identify at least one adverse consequence (failure effect) for each of the three process steps. e. Using a scale 1-10, rate likelihood of occurrence of failure for each process step. f. Using a scale 1-10, rate likelihood of detection of failure for each process step. g. Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step. h. Calculate the Risk Profile Number (Multiply likelihood of occurrence X likelihood of detection X likelihood of severity or harm). i. Summarize FMEA analysis.	70 pts Includes all requirements and provides an excellent failure mode and effects analysis. 63 pts Includes fewer than all requirements and/or provides a very good failure mode and effects analysis. 56 pts Includes fewer than all requirements and/or provides a basic failure mode and effects analysis. 0 pts Includes fewer than all requirements and/or provides a poor failure mode and effects analysis.	70 pts
This criterion is linked to a Learning OutcomeIshikawa (Fishbone) Cause and Effect Diagram (1-2 slides) Requirements: a. Identify people involved in the identified practice problem. b. Identify the environment in which the identified practice problem occurs. c. Identify the materials used. d. Identify the methods used. e. Identify the equipment used. f. Summarize cause and effect analysis.	70 pts Includes all requirements and provides an excellent fishbone cause and effect diagram. 63 pts Includes fewer than all requirements and/or provides a very good fishbone cause and effect diagram. 56 pts Includes fewer than all requirements and/or provides a basic fishbone cause and effect diagram. 0 pts Includes fewer than all requirements and/or provides a poor fishbone cause and effect diagram.	70 pts
This criterion is linked to a Learning OutcomeEvidence-Based Intervention (1 -2 slides) Requirements: a. Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT). b. Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses. c. Discuss feasibility of the intervention.	50 pts Includes all requirements and provides an excellent evidence-based intervention discussion. 45 pts Includes fewer than all requirements and/or provides a very good evidence-based intervention discussion. 40 pts Includes fewer than all requirements and/or provides a basic evidence-based intervention discussion. 0 pts Includes fewer than all requirements and/or provides a poor evidence-based intervention discussion.	50 pts
This criterion is linked to a Learning OutcomeConclusion (1 slide) Requirements: a. Summarize the purpose and findings of the analysis. b. Provide and justify the main conclusions. c. Draw inferences from the quality improvement analysis.	20 pts Includes all the requirements and provides an excellent conclusion. 18 pts Includes fewer than all requirements and provides a very good conclusion. 16 pts Includes fewer than all requirements and/or provides a basic conclusion. 0 pts Includes fewer than all requirements and/or provides a poor conclusion.	20 pts
This criterion is linked to a Learning OutcomeReferences (1 slide) Requirements: a. Include in-text citations used in the presentation. b. Provide complete matching references in correct APA format. c. Include minimum of four scholarly sources.	10 pts Includes all requirements and provides excellent references. 9 pts Includes fewer than all requirements and/or provides very good references. 8 pts Includes fewer than all requirements and/or provides basic references. 0 pts Includes fewer than all requirements and/or provides poor references.	10 pts
This criterion is linked to a Learning OutcomePresentation and Writing Requirements: a. Length: Maximum of 14 slides b. Standard English usage and mechanics c. APA format guidelines for in-text citation and references d. Clear, succinct, and readable slides e. Elaboration on the slide questions f. Speaker notes section with legible comprehensive notes for each slide	20 pts Includes all requirements and provides an excellent presentation and writing. 18 pts Includes fewer than all requirements and/or provides a very good presentation and writing. 16 pts Includes fewer than all requirements and/or provides basic presentation and writing. 0 pts Includes fewer than all requirements and/or provides poor presentation and writing.	20 pts
Total Points: 300

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