Evaluate the effectiveness of the intervention, including how the effectiveness of the intervention was evaluated.

Clinical scenarios (choose ONE from numbers 1 to 5)

A tertiary hospital’s annual report highlighted the main areas for quality improvement. A Registered Nurse (RN) has been assigned 10% of their work time to “Quality Improvement (QI)” in order to assist the clinic in addressing long-standing quality of care issues and to begin working on operational and clinical improvements.

The five priority areas for quality improvement include:

1) Surgical site infection rates have increased by more than 5% in patients with total knee replacements due to poor hand hygiene, as staff did not follow the 5-Moments for Hand Hygiene protocol.

2) The incidence of pressure injuries have risen in the rehabilitation ward, particularly for older adults. According to a subsequent audit report, the key concerns were a lack of detail about the screening and assessment processes used by healthcare staff to prevent and manage pressure injuries.

3) The incidence of omissions in nursing care have risen due to non-comprehensive clinical handover, especially when transferring the patients from the operating theatre to the general surgical ward, as no clearly structured handover tools were used by the nursing staff.

4) There has been a 5% increase in the incidence of near-miss blood transfusion errors in the pre-transfusion checking procedures as staff were unfamiliar with policies and guidelines for the administration of blood products.

5) Overall patient satisfaction has decreased 10% from last year due to the COVID pandemic causing a shortage of healthcare staff.

Part B – Analyse and evaluate the effectiveness of a quality improvement program (suggested word count is 600 words for this part)

For Part B of your essay, you need to analyse and evaluate the following full-text research article and complete the tasks below:

Oberai, T., Laver, K., Woodman, R., Crotty, M., Kerkhoffs, G., & Jaarsma, R. (2021). Does implementation of a tailored intervention increase adherence to a National Safety and Quality Standard? A study to improve delirium care. International Journal for Quality in Health Care, 33 (1), 1- 7. doi:10.1093/intqhc/mzab006Page 3

  1. a) Outline the aim/objective of the study and the study design, including which of the NSQHS Standards this study applied to.
  2. b) Outline how the clinical QI issue was identified e.g., which data were collected prior to the intervention phase.
  3. c) Identify and describe the components of the intervention.
  4. d) Define process and outcome data/measures and identify three (3) examples of each from this study.
  5. e) Evaluate the effectiveness of the intervention, including how the effectiveness of the intervention was evaluated.