PLEASE RESPOND TO THESE WRITER 1, 2 AND 3 BASED ON THIS DISCUSSION BELOW
Healthcare sector has been grappling with the best ways of ensuring quality life, providing the best treatment and diagnostic options that is efficient and cost effective by increasing innovation.
To reduce the challenges associated with quality management in healthcare systems for the benefit of patient, system failures should be addressed by adopting improved process strategies that can identify inefficiency, ineffective care and some of errors that are preventable in order to influence change within the healthcare system. These strategies include assessing performance and using the findings to update the changes. Assessing quality means observing the health structure, its process, and outcomes. Process measures the service provision by the providers and the guidelines being used for patients while outcome should measure the end result of the health care like improved service delivery, mortality rates and patient satisfaction (Ronda, 2008).
Measuring quality is not easy due to the complexity of the healthcare systems. Furthermore, data interpretation in reports has been another challenge as the reports has not been used extensively to make better decisions that result to better quality care (Omachonu & Einspruch, 2010).
In healthcare, one of the innovative practices that can enhance quality management in patient care is the use of PDSA cycle. The plan-do-study-act model a simple process to accelerate improvement. It is not meant to replace the existing changes but simply to accelerate the changes to a better level. The model is designed to work in a cycle to answer three basic question of: what are we trying to accomplish, how we will know that there has been improvements due to the changes effected and lastly what changes can we make that will result into improvements. This model is a guide to test a change and establish if the change is indeed an improvement. When change has been tested and refined through several PDSA cycles the changes can be implemented on a larger scale like an entire unit (Omachonu & Einspruch, 2010).
According to Timbie, et al., (2012), challenges and barriers to translating research evidence into practice include financial incentives, ambiguous study results, limited support from patients and clinicians. Furthermore, failure of organizations to utilize their Advanced Practice Nurses equally impedes translating research into practice (Bryant-Lukosius, Vohra, & DiCenso, 2009).
The initial step to overcoming barriers to EBP in an organization is assessing and identifying the obstacles. Understanding the impediments that exist in delivering evidence-based care will create a way for an action plan that generates success (Melnyk, 2002).
Estabrooks, C. A. (2003). Translating research into practice: implications for organizations and administrators. CJNR, 35(3), 53-68.
Gordon, M & Wasson J (2007) the Ideal Medical Practice Model: Improving Efficiency, Quality and the Doctor-Patient Relationship. Family Practice Management. www.aafp.org/fpm/2007/0900/p20.html
Melnyk, B. M. (2002, April). Strategies for overcoming barriers in implementing evidence-based practice. Pediatric Nursing, 28(2), 159-161.
Omachonu, V & Einspruch, N (2010) innovation in Healthcare delivery systems A conceptual framework. The Public Sector Innovation Journal. www.innovation.cc/scholarly-style/
Ronda, H (2008). Patient safety an evidence-based handbook for nurses. National center for Biotechnology Information. US national library of medicine. Rockville Pike USA. www.ncbi.nlm.nih.gov/books/NBK2682/
Timbie, J. W., Fox, S., Van Busum, K., & Schneider, E. C. (2012). Five reasons that many comparative effectiveness studies fail to change patient care and clinical practice. Health Affairs, 31(10), 2168-2174. doi: 10.1377/hlthaff.2012.0150
I agree that the PDSA is an effective way for an institution to perform quality checks on their own performance improvement initiatives. It can generate useful data and allow improvements in any hospital based programs. In terms of measuring quality in the healthcare system, data generation is key but how it is utilized is also very important. Dr. Connell`s presentation reflected the importance of comparing data generated from one hospital and using it to compare to another hospital that is similar in nature. This way the playing field is equal. When you said there were issues with data interpretation I was wondering if you were eluding to this issue as well.
WRITER # 2
In your research of the PDSA model, how many cycles are recommended to know whether a change is refined enough for implementation? Is this model recommended any setting, or is it designed for a specific type of organization? Just from what you shared it seems it could save a lot of extra time spent and would allow for great validation. Will you be using this model with your project? Boy, with all vast amount of information exposure we are gaining, it is overwhelming to know what is the best fit. Early detection of barriers and challenges seems to me being a key factor.
WRITER # 3
Moving to a learning health care system will require the identification of specific areas where isystem complexities slow or inhibit progress and the development of solutions geared toward overcoming impediments and failures that may come up from any organization (Grossmann, Goolsby, Olsen & McGinnis, 2011). Other ways of addressing system failures includes involving in activities that will embrace collaborative exploration of new and expedited approaches to assessing the effectiveness of interventions. Better use of the patient care experience to generate evidence on effectiveness, identification of assessment priorities, and communication strategies to enhance provider and patient understanding and support for interventions has proven to work best and deliver value in the organization.