Topic: this is a service improvement project report ( USING DMAIC AND LEAN THINKING TO IMPROVE QUALITY OF PATIENT CARE BY ENHANCING DOCUMENTATION OF FLUID BALANCE CHART IN AN ORTHOPEDIC WARD
Pages: 15, Double spaced
Sources: 40
Order type: Dissertation
Subject: Nursing
Style: Harvard
Language: English (U.K.)
Order Description
Dіssertatіon toрic
USING DMAIC AND LEAN THINKING TO IMPROVE THE QUALITY OF PATIENT CARE BY ENHANCING DOCUMENTATION OF FLUID BALANCE CHART IN AN ORTHOPEADIC WARD.
The dissertation report will explain the service improvement project on promoting patient safety through proper documentation of fluid balance chart (FBC) in an orthopedic surgical ward.
This presentation will also;
? Identify problems
? Provide possible solution
? Create staff awareness
The problem was fluid balance chart was not properly documented
AIMS AND OBJECTIVES
? To define service improvement, quality and patient safety.
? To define problems encountered in practices
? Outline evidence based background literatures
? Methodologies (DMAIC and LEAN Thinking) – Will be explored
? Rational of the project topic accessed and analyzed in details
? Pre and post process map
? Pre-measurement and data collected (WHY WAS FLUID BALANCE CHART NOT COMPLETED)
? Change management
? Proposed possible solutions with stakeholders
? Ethical issues involved and cost of possible changes
THE REPORT SHOULD HAVE
EXECUTIVE SUMMARY
INTRODUCTION
SERVICE IMPROVEMENT
SERVICE IMPROVEMENT METHODOLOGIES
LEAN SIX SIGMA;DMAIC MODEL
SOLUTIONS
COST AND PROTOTYPE
STAKEHOLDERS
ETHICAL ISSUES
EVALUATION
CONTROL
CONCLUSION
REFERENCES
Dissertation topic
USING DMAIC AND LEAN THINKING TO IMPROVE THE QUALITY OF PATIENT CARE BY ENHANCING DOCUMENTATION OF FLUID BALANCE CHART IN AN ORTHOPEADIC WARD.
The dissertation report will explain the service improvement project on promoting patient safety through proper documentation of fluid balance chart (FBC) in an orthopedic surgical ward.
This presentation will also;
Identify problems
Provide possible solution
Create staff awareness
The problem was fluid balance chart was not properly documented
AIMS AND OBJECTIVES
To define service improvement, quality and patient safety.
To define problems encountered in practices
Outline evidence based background literatures
Methodologies (DMAIC and LEAN Thinking) – Will be explored
Rational of the project topic accessed and analyzed in details
Pre and post process map
Pre-measurement and data collected (WHY WAS FLUID BALANCE CHART NOT COMPLETED)
Change management
Proposed possible solutions with stakeholders
Ethical issues involved and cost of possible changes
THE REPORT SHOULD HAVE
EXECUTIVE SUMMARY
INTRODUCTION
SERVICE IMPROVEMENT
SERVICE IMPROVEMENT METHODOLOGIES
LEAN SIX SIGMA;DMAIC MODEL
SOLUTIONS
COST AND PROTOTYPE
STAKEHOLDERS
ETHICAL ISSUES
EVALUATION
CONTROL
CONCLUSION
REFERENCES
The project report A summary report of the service improvement project (4000 words)
This must include an analysis of the area of service provision for improvement and rationale, application of service improvement methodology with a well-justified change based on a critical review of best evidence, application of change theory and ethical principles, and evidence of stake-holder analysis.
This is presented as a 4,500 word (+ or – 10%) project report supported with appropriate references and a bibliography.
4 The minimum suggested headings are (you will need to add in others as you see fit and you can rearrange the order and exact wording as necessary):
• Title page • Executive summary (This may be shared with the healthcare organisation in which the service improvement takes place). It must fit on to one side of A4, 1.5 line spacing. It does not count in the final word count.
• Introduction A short introduction to this assessment task and the layout of the report should be given along with a confidentiality statement. You need, at some point, to state the aim and any relevant objectives of the project.
• Context and background This must include an analysis of relevant supporting literature – evidence relevant to the aspect of practice that is subject to change.
• Aim and objectives You must state an aim for the project and you might find it helpful to have objectives.
• Service improvement You need to include an analysis of the concept of service improvement and a rationale for the approach you have taken in your project. Begin to link your analysis of service improvement to your project. Pay particular attention to understanding the process/problem and the measurements of that process.
• Patient safety and quality Ensure that you link the project to the concepts of patient safety and quality.
• Implementation of the proposed change Identify and analyse how you have, or would have implemented, your proposed service improvement. Within this you should show that you have considered the change process, costings, the impact on staff and data collection measurements with regard to the impact of the change. This section must again reflect the appropriate elements from service improvement methodology. Make sure you link the methodology to your project. You must make it clear what solutions were considered and what measurements you would make, before and after the change.
• Ethical issues/permissions You must have a short section that deals with these issues in relation to the project you are describing. Please remember that the necessary permissions must be gained prior to collecting measurements and the implementation of any change in practice and evidence for this must be provided in the appendices. Where you are proposing and not implementing the change, the permission process you would use should be clarified in the text and evidenced through appropriate appendices. You can not involve patient/clients in this project.
• Evaluation Reflect on the project and identify and analyse how the impact of the change would be evaluated. Where data is available, if you have been able to make the change, this should be analysed and also included as appendices. Where post-data is not available clear guidance must be provided on how the evaluative data would be obtained and analysed. Where relevant you can use this section to discuss why the solution was not adopted.
• Conclusion Draw together key points from your service improvement project, go back to the aim and objectives, and briefly discuss the viability of broader implementation if relevant.
• References
• Bibliography (don’t forget this)
• Appendices. These must include your Process Maps (X2), which cannot form part of the body of this assessment as the Process Maps were marked in the conference presentation. You must also include your signed ‘Outline project proposal’ form and the signed ‘Ethical approval for dissertation work’ form.
Please note that it will be necessary to include additional supportive information as appendices in this assessment task.
Any work in the appendices that will draw you marks should also be found in the main text.
Submitting your work, presentation and confidentiality (Read this section at least twice) Please follow the guidance.
Please use size 12 font and 1.5 line spacing in the report.
The executive summary, headings and sub-headings do not count in the final word count of the report.
You are required to use the Harvard System for references and the bibliography (you must check the Faculty referencing guidelines).
The guidelines are available from Learning Resources in a variety of formats and markers will expect them to be very closely adhered to Confidentiality must be maintained at all times.
You must ensure that this requirement is met for all patient/clients, staff and clinical areas/practice environments .
A confidentiality statement must be included in your introduction section in addition to an ethical issues/pe5rrmission section. Breaches of confidentiality will be treated as a serious matter and may lead to a fail grade being given. The only member of service staff identified within your project is your mentor .
GUIDELINES FOR STUDENTS 3.1 The Student’s Role The student is primarily responsible for seeing that the project is completed to a high standard, within the stipulated deadline and meets the relevant criteria. The guidelines for presentation of both elements of this unit must be followed. The student accepts the primary responsibility for:
• Working out a time scale to ensure completion within the stipulated deadlines;
• Maintaining confidentiality and not involving patient/clients in this project;
• Selecting the topic, achieving focus and negotiating its appropriateness with the mentor, their supervisor and if necessary the unit lead;
• Gaining final approval for the topic area to be analysed within the project;
• Working closely with service staff and providing necessary information with regard to service improvement and this project;
• Deciding the purpose, aim and objectives of the service improvement project and communicating these effectively to service staff;
• Identifying and collecting the measurements relevant to the innovation.
Please remember that including staff in your project raises ethical issues and this, along with the permissions you sought, should be described and analysed where relevant. You are not allowed to include or involve patient/clients in any part of this project. This requires ethical approval beyond what you will apply for with regard to this project. Please ensure that you give due consideration to this point. Involvement of patient/clients in the project may lead to a fail grade being given in one or both of the assessments. Aspects of this project may or may not involve audit. The project can not be considered to be research. You are not allowed to collect measurements using questionnaire style documents. You do not have ethical permission for such methods.
Further suggested reading Details on service improvement can be found at the web site for the NHS Institute for Innovation and Improvement. Go to: http://www.nhsiq.nhs.uk/legacy-websites/nhs-institute-for-innovation-and-improvement-tools-and-products.aspx (Accessed on 17-9-16) Christiansen, A. Robson, L. and Griffith-Evans, C. (2010) ‘Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education’. Journal of Management. 18 pp.782-788. Davies, C. and Milligan, F. (2013) ‘Development of a language identification tool’. Nursing Standard. 27 (35) pp.35-39. Langley, G. J. et al (2009) The improvement guide: a practical approach to improving organisational performance. San Francisco: Jossey Bass Lipshutz, A K, M. et al. (2008) ‘Strategies for success: a PDSA analysis of three QI initiatives in critical care’. Joint Commission Journal on Quality and Patient Safety. 34 (8) pp.435-433. Morgan, J. and Brenig-Jones, M. (2012) Lean Six Sigma for Dummies. Chichester: Wiley. Vincent, C. (2010) Patient safety. Chichester: Wiley Blackwell. White, S. and McSherry, W. (2013) ‘A systematic review of releasing time to care: the productive ward’, Journal of Clinical Nursing,22 pp.1361-1371. World Health Organisation (2003) Quality improvement for mental health. Geneva: WHO.Report writing checklist
Instructions
Students should follow the written and verbal guidance given in this unit with regard to completion of the project report (unit handbook and Guidance document).
