NURS 4221 Week 2 Peer Review Assignment – Walden

Walden University

Nurs 4221

Quality improvement process involves an entire team, not just one person, manager, or nurse can change anything. With change for the best, it takes a team approach. Once the problem has been identified, a process then forms to find the best action to locate and fix the problem (Spath, 2013). Performance improvement being the last phase for the quality management (Spath, 2013). An improvement team is formed, which is composed of people that are the most familiar with the processes that are being evaluated (Spath, 2013). Once the improvement project is underway, everything that affects the performance is closely monitored (Spath, 2013). After finding out the problem and before change can take place the improvement team must find out where, when, and why the issues/problems occur so the most effective solutions can be put in place (Spath, 2013). To ensure the best practices are put into place the team will use analytic tools to investigate the order of and pick the interventions that will be most successful with the end results (Spath, 2013). I chose the FADE model is for the use of the quality improvement (QI) initiatives which include the cyclical process (Giardino, 2016). This model can work for all types of performance problems (Spath, 2013). The FADE model for the performance improvement is an integration of the original PDSA/PDCA cycle of development (Spath, 2013). With using the FADE model the QI team utilizes a four-step process which involves using a repetitive approach, it repeats the steps repeatedly to evaluate how well the plans that have been put into action are going and what are the impacts that are taking place in the changes of the system (Giardino, 2016). There are four steps of the FADE model which are called the focus, analyze, develop, and execute phases (Spath, 2013). The focus phase is where you choose a problem and write out a statement explaining it (Spath, 2013). Analyze is the phase where you learn more about the problem but obtaining data about the performance that is being questioned (Spath, 2013). Develop phase is coming up with a solution for the problem and planning for implementing the solution that you come up with (Spath, 2013). Finally, the phase to execute which is putting the plan into action and monitoring the results and adjusting the plan if needed (Spath, 2013). The FADE model of the performance improvement is helpful for looking at a problem, analyzing the issue and the causes of it, making and putting in place a solution, and monitoring the success; then repeat until the progress is where it should be (Spath, 2013). References: Spath, P. (2013). Introduction to healthcare quality management (2nd ed.). Chicago, IL: Health Administration Press. Giardino, E. R. (2016). QUALITY IMPROVEMENT. Evaluation of Health Care Quality for DNPs.

NURS 4221 Week 4 Assignment 1 (Walden)

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