Identify and describe a concern or problem related to patient care that you have noticed and believe needs to be improved. Is there a standard or guideline that is not being adhered to? How do you know that this is a problem? What evidence do you have that leads you to believe there is a problem? Describe data that may be available to you: observations that you have made or patient/family complaints that have been voiced. State and discuss which of the 6 Institute of Medicine (IOM) aims this problem relates to (safe, timely, effective, equitable, efficient, or patient-centered). Discuss the type of data that has been collected or needs to be collected to understand progress on improving this specific aspect of care. Review Aveda’s Donabedian and identify the structure, process, or outcome. Discuss the tools you will use to better clarify the concern or problem (control chart, histogram, Ishikawa fishbone diagram). What other nursing staff would you include in the project and why?
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