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QUESTION
Week 10 is a group assignment. Last week, you explored key factors that contribute to patient safety challenges using root cause analysis. This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.
To prepare:
READ: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535
READ: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15.
We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. As a group: FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to the group, and which would ultimately contribute to an evidence based practice.
Research study of interest is:
Shah, G. S., Christensen, R. E., Wagner, D. S., Pearce, B. K., Sweeney, J., & Tait, A. R. (2014). Retrospective evaluation of antimicrobial prophylaxis in prevention of surgical site infection in the pediatric population. Paediatric Anaesthesia, 24(9), 994-998. doi:10.1111/pan.12436
The discussion assignment:
ANSWER the following discussion questions as a group: (as a team, post your responses by Sunday at midnight). Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.
Rubric
4 points: all discussion questions are addressed.
3 points: most of the discussion questions are addressed.
2 points: About half of the discussion questions are addressed.
1 point: Only one or two of the discussion questions are addressed.
0 points: the article was not accurately described as research.

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