Patient care tech`s obtaining Blood Glucose levels from patients and report to the nurse inaccurate result prior to the glucometer resulting in the computer.
The nurse may treat the patient base o an inaccurate result causing a medication error.
Team Members: Answer the following questions:
Who are the appropriate team members for this project?
• Consider all those who may be affected by the project or invested in the outcome, including clinical staff,
affiliated discipline, and clinical leaders.
Background: Answer the following questions:
What background knowledge or literature is relevant to this project?
What evidence is available to guide planning?
Current State/Ideal State: Answer the following questions:
What is the current state of the system under study?
How do you know improvement is needed?
What features of the current system are contributing to the problem?
What characterizes the ideal state?
Establishing Measures: How will you know that a change is an improvement? Answer all the following
questions:
Measurement outcome is essential to quality improvement. Measures can be outcome, process or balancing
measures; often a combination of all of these is used for a project.
• What outcome measures will you use?
• What process measures will you use?
• What balancing measures will you use?
• What type of sampling will you use?
Selecting Changes: What changes can be made that will result in improvement? Answer the following
questions.
Ideas for changes often come from those working in the system, from other similar improvement efforts, or
from change concepts and theory.
What are the key points within the current state that are opportunities for change and improvement?
What changes are you considering?
Sample Solution