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MDRI/MRSA – A Quality Improvement Plan
Keydra Jackson, Lauren Schultz, Jackleen Shumeil
Department of Nursing, Purdue University Northwest
NUR45200: Quality and Safety for Professional Nursing Practice
Dr. Cheryl Moredich
March 24, 2023
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MRSA in Surgical Patients – A Quality Improvement Plan
Background
PICO question: What is the best available evidence for preventing hospital-acquired MRSA
infections in surgical patients?
Evidence
Analysis of Current Condition
Cause Analysis
Action Plan
Who
What
Why
Describe
who is
responsibl
e
Explain what
they are
responsible
for. Address
each
indicator
Rationale
for why this
person(s)
should be
responsible
for this
action
When
How
Completion Date
When will Explain how the Date for
they
person should
completing the
perform
complete the
action
the action? assignment
What is the (think of
timeline for implementation
completing described
the task?
above)
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References
4
Name and Summary of Contributions
Requirements for QI Report of Project: Written
Background of the problem
•
„efinition of the problem with references
Depth and breadth of the problem (e.g., national statistics and local data to
demonstrate a problem exists)
PICO question and search strategy
Evidence
•
—hat evidence did you find? Synthesize the evidence
Appraisal of the evidence using appropriate appraisal tools
Levels of evidence using hierarchy of evidence
Analysis of Current Condition
•
Table and graph with narrative (use data from assigned problem)
Flowchart comparing current process versus what evidence says should be done with
narrative identifying missed opportunities (indicators).
Cause Analysis
’oot Cause Analysis with Fishbone Diagram. Identify where the problems exist. Describe
causes for the problem and how each is linked to the problem.
Action Plan for Each Indicator
ƒhanges that should be done in order to improve practice, according to what evidence
shows. Include:
o Indicator (look at your indicator sheet): Provide the evidence to support in one
sentence.
o Measurement: Numerator and denominator. How will you measure that the
change is being done?
o Goal: What is your goal data? Benchmarks?
o Implementation: Include best practices for implementing your change with
evidence to support your implementation strategy
MMK 2020
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o
Create a table with the following information for each indicator:
Who
What
Describe
who is
responsible
Explain
what they
are
responsible
for.
Address
each
indicator
Why
When
How
Completion
Date
Rationale
When will Explain how the Date for
for why
they
person should
completing
this
perform
complete the
the action
person(s)
the action? assignment
should be
What is
(think of
responsible the
implementation
for this
timeline
described
action
for
above)
completing
the task?
Reference Page
Names and Contributions
Names and Summary of Group Member Assignment Contributions:
MMK 2020
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