SCENARIO: You are the quality director at

SCENARIO: You are the quality director at a long-term care facility. Your manager has asked you to investigate two areas of care: colonoscopy care and pressure ulcer injuries. Your facility has seen a recent increase in their patients needing colonoscopy care that goes beyond what your facility can provide. It would be helpful to gather information on the quality of colonoscopy care by local hospitals. For pressure ulcer injuries, you are concerned about this quality indicator: the percentage of patients with pressure ulcer injuries that are new or that have worsened since their arrival at your facility. In your facility, that quality indicator is 15% of residents, while the state percentage is 2.5%. Your manager has requested that you investigate how to improve this quality indicator in your long-term care facility so that the percentage will become closer to the state percentage. Apply the Root cause analysis (RCA) framework to your goal of lowering your facility’s metrics on pressure ulcer injuries. Consider preventative measures such as understanding which residents are at higher risk, ensuring frequent changes in their position, providing proper nutrition, and using specialized beds to reduce pressure on the skin. Address the following: Differentiate between frameworks: Differentiate between the following problem-solving/performance improvement frameworks by examining their goals and processes: Root cause analysis (RCA) Plan-do-study-act investigation (PDSA) Tracers Failure mode effect analysis (FMEA) Framework steps: Discuss each step in the process of the Root cause analysis (RCA). Benefits of framework: Explain the value and benefits of the Root cause analysis (RCA). Apply framework: Apply the Root cause analysis (RCA) to the problem at the facility with pressure ulcer injuries. List what you would do in each step of the Root cause analysis (RCA) for that issue. Assess the significance of any data or metrics in each step. Organizational process improvement: Discuss what healthcare organizational issue or process might need to be revised to improve the performance area. SCIENCE HEALTH SCIENCE NURSING NRSG 314

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