Week 10- DUE 10/27/2018
Assignment: Textbook Problems: Failure Modes Effects Analysis Project
How are risk priority numbers (RPN) useful for health care administration leaders?
As you continue your examination of the use of and purposes for FMEA,  you will begin to critically evaluate the numbers associated with your  analyses. That is, the rates with which certain processes may be failing  in your health services organization will allow you to strategically  assess and implement efforts aimed to reduce errors and to promote  quality health care delivery.
For this Assignment, review the resources for this week regarding  chi-square, ANOVA, ANOM, and regression. Pay particular attention to the  examples shown in the textbook. Consider how these tools may contribute  to the value-chain perspective.
The Assignment: (3- pages)
·  Using SPSS and Microsoft Word, complete problems 1 through 4 on pages 405–406 in the Ross textbook. Show all work. Submit both your SPSS and Word files for grading. 

Summary

PROBLEMS

1. An FMEA will be performed on postoperative infections. Data is available by surgery type on the frequency, severity, and detectability of these infections. The director of quality improvement wants you to prepare a priority list giving the order in which the various sur- geries should be examined, to produce the greatest potential benefit for the organization. Severity is ranked from most severe (4) to least severe (1), and detectability is ranked from difficult to detect (4) to easy to detect (1). Calculate a frequency ranking from very high (5) to very low (1) based on the number of infections and cases shown in the following and the RPNs for each type of surgery. Which surgery should be examined first? Which surgery should be examined last? What is the maximum possible risk score for this analysis?

Surgery Types

Number of Infections

Number of Cases

Frequency

Severity of Infections

Detectability

Risk Priority Number

Thoracic 5

Neuro 1

Orthopedic 50

Plastic 32

Oral 25

General 100

200 3 3

100 4 3

2,000 2 2

800 1 2

500 1 1

5,000 2 1

2. Instead of the ordinal ranking of frequency, 1 to 5, used in problem 10.1, the director of quality improvement has collected data on the number of cases for each type of surgery and the num- ber of patients that contracted a postoperative infection. The director wants you to recalculate the RPN using the actual incidence rates of infection. Infection severity and detectability are ranked the same as in problem 10.1. Compare your new RPNs with those calculated in 10.1. How does the use of the incidence rate change the improvement work list? Which surgery should be examined last? What is the maximum possible risk score for this analysis?

Surgery Types

Number of Cases

Number of Infections

Rate of Infection

Severity of Infections

Detectability

Risk Priority Number

Thoracic 200

Neuro 100

Orthopedic 2,000

Plastic 800

Oral 500

General 5,000

5 3 3

1 4 3

50 2 2

32 1 2

25 1 1

100 2 1

Chapter : Failure Mode and Effects Analysis

3. Assume that in problem 10.2 strict adherence to antibiotic administration one hour prior to thoracic surgery has reduced the rate of infection to 1.0% and severity to 2.0. How did this improvement affect the priority list? Which surgery should be the primary target for improvement?

4. A hospital is setting its quality improvement agenda for the upcoming year and will per- form an FMEA in one area. The hospital has rated sentinel events for severity, probability, and detectability on the following scale: very high, high, moderate, low, very low. Calculate the risk priority number for each type of event. Which sentinel event should be the focus of the hospital’s FMEA effort?

Event

Severity

Probability

Detectability

Hospital-acquired High Moderate Infection

Medication Error Moderate High

Patient Fall Low High

Pressure Ulcer Low High

Treatment Delay Low High

High

Moderate

Very high

Very high

High

References

Apkon M, Leonard J, Probst L, DeLizio L, and Vitale R, 2004, Design of a Safer Approach to Intravenous Drug Infusions: Failure Mode Effects Analysis, Quality and Safety in Health Care 13 (4): 265–271.

Camp RC and DeToro IJ, 1999, Benchmarking, in Juran’s Quality Handbook, 5th ed., edited by JM Juran and AB Godfrey, McGraw-Hill, New York, NY, 12.1–12.20.

Cleary P and Edgman-Levitan S, 1997, Health Care Quality: Incorporating Consumer Perspectives, JAMA 278 (19): 1608–1612.

Cohen H, 2007, Protecting Patients from Harm: Reduce the Risk of High-Alert Drugs, Nursing (September 2007): 49–54.

Coronary Drug Project Research Group, 1980, Influence of Adherence to Treatment and Response of Cholesterol on Mortality in the Coronary Drug Project, New England Journal of Medicine 303 (18): 1038–1041.

Curran TA and Ladd A, 2000, SAP R/3 Business Blueprint, Prentice Hall PTR, Upper Saddle River, NJ.

DeToro IJ, 1995, Business Process Benchmarking Workshop, The Quality Network Inc., Rochester, NY.

Duwe B, Fuchs B, and Hansen-Flaschen, J, 2005, Failure Mode and Effects Analysis Application to Critical Care Medicine, Critical Care Clinics 21 (1): 21–30.

406

7. ASSIGNAMENTS( updated)

1.2. Week 1 – How good are your decision making skills?

Due january 22  by 11:59pm

Points 10

My decision making skills result “

What have you learned about your decision making skills? What is your plan to improve your decision making skills? Write a one page summary of your answers to the two questions above. 

2-Week 2 – Strategic PlanninG

DUE JANUARY 22

No unread replies.No replies.

Discuss strategic planning as a management process. Are you aware of your organization’s strategic plan? Are nurse leaders involved in the planning process? Discuss how fiscal planning and strategic planning are related. Does your organization’s plan drive the budget or vice versa?

2.2-week 2 due jan 22

Quiet at Night? You are the night shift charge nurse on a busy surgical unit in a large, urban teaching hospital.  Surgeries occur around the clock, and frequently, noise levels are higher than desired because of the significant number of nurses, physicians, residents, interns, and other health-care workers who gather at the nurses station or in the halls outside of patient rooms.  Today, the unit manager has come to you because the hospital’s score on the Centers for Medicare and Medicaid Hospital Consumer Assessment of Healthcare Providers and Systems (hCahPS) survey for the category Always Quiet at Night falls far below the desired benchmark.  She has asked you to devise a plan to address this quality of care issue.  The management goal in this situation is to achieve an HCAHPS score on Always Quiet at Night that meets the accepted best practices benchmark, thus assuring that patients get the rest they need to promote their recovery.  The leadership goal is to foster a shared commitment among all health-care professionals working on the unit to achieve the Always Quiet at Night goal.

Assignment:

1. Identify five management strategies you might use to address the problem of excessive noise on the unit at night. For example, your list might include structural environmental changes or work redesign.

2. Then identify five leadership strategies you might use to promote buy-in of the Quiet at Night initiative by all health-care professionals on the unit.  How will you inspire these individuals to work with you in achieving this critically important goal?  What incentives might you use to reward behavior conducive to meeting this goal?

3. Discuss whether you feel this goal could be achieved by employing only the management strategies you identified.  Could it be achieved only with the implementation of leadership strategies for team building

3- WEEK 3

Week 5 – Lessons of the geese

Due  JANUARY 29

Submitting WORLD FORMAT APA STYLE

Analyze “Lessons of the Geese” and broadly discuss how this could be used to create and support an organizational culture that values and uses effective team concepts to improve clinical practice

4- WEEK 4

DUE DATE FEBRUARY 5

The American Nurse 

Submitting a text entry box or a file upload

The purpose of this assignment is

1. To identify the attitudes and behaviors that indicate responsibility and accountability as nurse leaders, and

2. Describe the role of nurse leaders in today’s health care environment.

Print “The American Nurse Reflection Study Guide” provided below (click on link) and watch the American Nurse documentary. The documentary provides a snapshot into the lives of five nurses. Use the reflection study guide to reflect and document your reflections as you watch the film.  

The American Nurse https://g.co/kgs/z2PguB

4.4 week 4. Due date February 10

Building power as a nurse

You have been an RN for 3 years. Six months ago, you left your position as a day charge nurse at one of the local hospitals to accept a position in the public health agency. You really miss your friends at the hospital and find most of the public health nurses older and aloof. However, you love working with your patients and have decided that this is where you want to build a lifetime career. Although you believe that you have some good ideas, you are aware that because you are new, you will probably not be able to act as change agent yet. Eventually, you would like to be promoted to agency supervisor and become a powerful force for stimulating growth within the agency. You decided that you can do a few things to build a power base. Yo spend a weekend designing a personal power-building plan

 Make a power-building plan. Give six to ten specific examples of thing you would do to build a power base in the new organization. Provide rationale for each selection. Outline specific actions that you would take. It might be helpful to consider your own community and personal strengths when solving this learning experience.

5-WEEK 5

Change Theories Project

Use SWOT analisys

DUE DATE FEBRUARY 15

You will create a power point presentation for this assignment.

Student will develop a plan for implementing a change project in your organization. The first step is to identify a problem in your organization. Then you will propose a change to solve the problem. You will use a change theory that models how you want to implement the proposed change. You will conduct a SWOT analysis and develop a comprehensive action plan. You will create a power point presentation of your plan. You will examine the types of communications, decision-making processes you use.

 Objectives

Select and utilize a change theory model to implement the proposed change

Analyze the leadership roles and management skills necessary to implement a new process or change 

RUBRICS

Leadership Change Project and PPT