Improvement science models bring together research and evidence-based practice to identify the most effective ways to promote quality and safety in health care. As a central tenet of quality improvement, attention must be paid to the processes that contribute to outcomes.

In this Discussion, you examine quality improvement models and evaluate how they could be applied to address specific issues within health care organizations.

To prepare:

• Review the improvement models presented in the Learning Resources.
• Evaluate each of the models and select two on which to focus for this Discussion.
• Consider how each of the two models could be utilized in a health care organization to promote quality and safety. Think about the following:
  • How does the model bring together research and evidence-based practice to facilitate quality improvement?
  • How does the model contribute to a culture of quality and safety?
  • How does it address changes in process?
• Reflect on the quality improvement issue and the health care setting that you are addressing for your Course Project. Of the two models that you have selected, determine which one you, as a nurse leader-manager, would use to address this issue. Also consider how this would relate to one or more of the IOM’s six aims for quality and safety.

By Day 3

Post your analysis of how the two improvement models that you selected could foster a culture of quality and patient safety and facilitate changes in process that promote positive outcomes. Explain how you would use one of these models to address the quality improvement issue in the organization that you have selected for your Course Project, and how doing so would relate to one or more of the IOM’s six aims for improving quality and safety.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

• Offer additional strategies for using your colleague’s selected model to address the IOM’s six aims for quality.
• Share insights for engaging frontline staff using your colleague’s selected improvement model.
• Compare the steps in the improvement model that you selected with your colleague’s.
• Suggest an alternative model for your colleague to utilize in his or her identified health care organization.

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and pernicious anemia. Compare these two types of anemia, considering the similarities and differences between them, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders.

Class Learning Resources:

**Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.

• Chapter 20, “Structure and      Function of the Hematologic System”

This chapter examines components of the hematologic system, development of blood cells, mechanisms of hemostasis, and hematologic value changes in pediatrics and geriatrics. It also focuses on common blood tests for hematologic disorders.

• Chapter 21, “Alterations of      Hematologic Function”

This chapter focuses on common alterations of hematologic function, including alterations of erythrocyte function, leukocyte function, lymphoid function, splenic function, platelets, and coagulation.

• Chapter 22, “Alterations of      Hematologic Function in Children”

This chapter expands on alterations of hematologic function by presenting disorders that affect children, such as disorders of erythrocytes, coagulation, and platelets.

**Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

• Chapter 6, “Blood Disorders”

This chapter begins by exploring the anatomy and physiology of blood and the coagulation system. It then examines two types of anemia caused by red cell disorders. White blood cell disorders and platelet disorders are also examined.

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

– This work should have Introduction and Conclusion

– It should have at least 3 current references (Year 2013 and up)