In Week 4, you identified some immediate areas of concern that you were able to effectively address. You must present the final phase of your improvement plan to your staff and upper-level management. You will create a presentation of slides. Each slide will have 4 bullets and 100 words of speakers notes. The presentation will address the following areas:

In preparation for the accreditation visit for AKT, choose 1 health care accrediting and credentialing organization.

• Select a quality improvement focus (QIF) area to improve patient outcomes in beyond the 3 issues that you identified and addressed in Week 4.
• Discuss the selected accreditation agency related to the QIF and why the organization is seeking this particular agency for credentialing.
• As part of the quality improvement initiative, select 3 related accrediting standards that the organization will use as the basis for the quality improvement plan.
• Provide a clear mission statement and set of 3 specific, measurable, attainable, realistic, and timely (SMART) goals for the QIF initiative.
• Using the online database provided the by the organization you selected conduct an analysis.
• Provide general statistical data related to the QIF.
• Discuss specific health care examples of local, state, and national policies that have been developed to improve this QIF based on evidence-based practice research.
• What internal policies do you plan to implement based on evidence-based practice approaches to ensure your organization meets these standards?
• Develop a plan that includes strategies for your facility to improve patient outcomes regarding the QIF.
• Describe how the QIF initiative can be incorporated to the organization’s overall strategic plan.
• Describe how you plan to evaluate the effectiveness of the initiative.

Please submit your assignment.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Produce the Assignment submission in a single Microsoft Word or Open Office document. Be sure to cite your sources, use APA style as required, check your spelling.

Discuss mechanisms that you can implement which will reduce medical errors. Which departments will interact to ensure patient safety and how?

Assignment Description: This assignment will be at least 1500 words or more

This week you will reflect upon patient safety and satisfaction to answer the following questions:

• How can patient safety measures lead to cost savings?
• Briefly define the Joint Commission’s role in healthcare.
• Reflect on your future role in healthcare, and how you will contribute to patient safety.
• How do you see the role of the chief nursing officer regarding patient safety?

Assignment Expectations: How will students be successful?

• Length:
  • 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

Evidence-Based Practice Proposal: Section G: Evaluation of Process

In 500 words (not including the title page and reference page), develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

1. Describe the rationale for the methods used in collecting the outcome data.
2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
4. Describe strategies to take if outcomes do not provide positive results.
5. Describe implications for practice and future research.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.

Below is the previous section please use this information in section G

Evidence Based Practice Proposal- Section F Implementation Plan

Setting

This EBP project is proposed to take place in a small rural critical access hospital emergency department providing care 24 hours each day and 365 days each year. The proposed service area includes 1 county in rural Georgia and 2 adjacent counties also in rural Georgia.

Participants

The participants will be those patients > 18 years of age presenting to ED triage with possible sepsis and NEWS score of > 3. The project will compare electronic medical records (EMR) of pre- implementation (before protocol initiation) with those EMRs from post- implementation. This will involve identification, initial contact and nurse compliance with sepsis protocols. An approval form for the implementation will be obtained from administration prior to the implementation. All patients < 18 years of age will be excluded. The project sponsor will avoid any manipulation, participant’s privacy and confidentiality will be protected completely any information that is obtained will be for the purpose of selecting subjects.

Timeline

The timeline for the project will be 16 months’ implementation, and data collection of EMRs for the same amount of time.

Resources

Putting evidence- based research into practice requires a number of resources for effective implementation. These resources aid the healthcare professional in getting to know the answers to important questions. There will be a need for funding resources such as education and personnel, equipment such as computers and labels, educational materials and information technology.

Methods and Instruments

Data collection will be from EMRs pre- and post- implementation by chart review. Data will be entered into a purchased and downloaded Statistical Package for the Social Sciences (SPSS) and compared.

Intervention

This will be a multi-faceted project. With first step being the identification and appraisal of best available evidence pertaining to the care of patients with sepsis, severe sepsis and septic shock in the ED. Sepsis screening tools will be added to the computer system to include the NEWS score which will trigger activation of the steps included in the sepsis protocol including activation of code sepsis alert, moving the patient immediately to an ED bed, blood samples being drawn for cultures, CBC, CMP, chest radiograph, and alerting the ED physician of potential sepsis for implementation of the sepsis care bundles described in the SSC guidelines of 2012. All nurses, lab and radiology personnel, and physicians will be trained and educated on all protocol steps.

Data Collection Plan

Data collection will be from the EMRs pre-and post-implementation. Data to be collected includes, chief complaint on arrival to triage, age > 18 years, NEWS score, SIRS criteria, sepsis screening information, and nurse compliance with sepsis care protocol components. Primary data results are nurse compliance with sepsis care bundle components, secondary data to be compared are mortality rates, ICU admissions, and length of stay. All due diligence will be taken to ensure that information will be kept private and confidential. All data will be managed and maintained by the project manager. Data analysis will be entered the SPSS for statistical analysis. Utilizing a chi square test of independence to calculate screening compliance pre-and post- implementation. Secondary analysis will include examining compliance impact on the secondary data on pre-and post- protocol implementation patients whose EMR indicates a diagnosis of sepsis.

Strategies to manage barriers

There are a variety of strategies that are utilized in overcoming barriers to the implementation of evidence-based practice, there is need for formal evaluation to ascertain the impact on the proposed change, knowledge, attitude and skills of nurses are identified as the main barriers to EBP in sepsis care included in this is the lack of baseline knowledge of sepsis care, lack of triage recognition and delay of diagnosis leading to decrease protocol use and poor patient outcomes. Utilization of online systems to obtain databases with appraised evidence to enhance the awareness along with education and training on good communication. A commitment must be made to advance evidence-based practice and allocate efficient resources for implementation.

Feasibility

Evaluation of the feasibility of the implementation of the EBP practice focuses on the knowledge, skills, personnel cost and computer related cost. Clinician knowledge and skills indicate that they are prepared to get the research into practice. Personnel costs are justified in that there will be staff employed to ensure the effective implementation of the plan. All special lab labels will be used to identify stat lab tests for sepsis patients ensuring that results are obtained in < 1 hour as recommended in the SSC guidelines. Computer related costs will be incurred with the purchase of SPSS program, and the addition of the NEWS score trigger and are justified in their necessity for the project.

Plan to maintain, revise, extend or discontinue

Here the project team will evaluate the efficacy of the timely implementation for the ED sepsis care protocol. If the proposed ED sepsis care protocol is ascertained as ineffective, it shall be discontinued. The project manager anticipated providing the required education and training to identify the any needed revisions early to ensure implementation of the best evidence- based sepsis protocols. There will be ongoing education and updates as needed to ensure that all practitioners are using all the best evidence in practice and all protocols remain up to date. Extension of the implementation period is not anticipated now due to the extended length of the current plan, any possible need for extension will be assessed later.

Instructions

Memory Management and Virtual Memory

Continuing with the course project, this week, you will study how various OSs perform memory management and provide support for virtual memory.

Tasks

Using the South University Online Library or the Internet, research memory management, virtual memory of OSs, deadlock modeling, and distributed OSs.

Based on your research, complete the following tasks:

• For the scenario at Acme Toys Inc. described in Week 1, read the requirements again. In the Microsoft Word document from W3 Project, to your analysis of OSs (three OSs for workstations and servers), add to the discussion with regard to memory management, virtual memory, deadlock modeling, and distributed OSs. Support your analysis with reasons.
• For each listed OS, discuss the requirements for size of virtual and physical memories.

Submission Details

• Name your document SU_ITS3101_W4_Project_LastName_FirstInitial.doc.
• Support your responses with examples.
• Cite any sources in APA format.
• Post your response to the Submissions Area by the due date assigned.

I have also provided (attached) the previous project 3 so you can add to that.

http://www.everydayresearchmethods.com/2013/07/do

read and answer the 3 questions.

a.) Is the below quote an operational definition or a conceptual definition of the variable, “grieving?” Explain your answer.

“Researchers may strongly suspect grief only when certain conditions are met: First, two (or more) animals choose to spend time together beyond survival-oriented behaviors such as foraging or mating. Second, when one animal dies, the survivor alters his or her normal behavioral routine—perhaps reducing the amount of time devoted to eating or sleeping, adopting a body posture or facial expression indicative of depression or agitation, or generally failing to thrive.”

b) What does it mean to “anthropomorphize”? Do you think anthropomorphizing could be a special example of observer bias? Why or why not?

c) The article states: “One of the people who commented in the public comments section wrote,’Those of us who live with animals (dogs, cats, horses, cattle, etc)in long term daily life know from experience that animals DO exhibit grief and mourning beyond just curiosity.'”

Do you think that this person’s observations are based on intuition, experience, or empiricism? Why? What would you add to this comment to make it more scientific/empirical?