Protocol Development and Quality Improvement

Analysis Tool Kit

Affinity diagrams

Decision matrixes

Root-cause analysis

Apparent cause analysis

Process maps

Run chart, control chart, or flowcharts

Force-field analysis

Histograms, scatterplots

Reporting and Publishing QI Results

Report QI data internally to trend and track progress and share work that is being accomplished.

Reduces the chances of the same mistakes being repeated

Shares your work by spreading important and useful information

Standards for Quality Improvement Reporting Excellence (SQUIRE) – Provides a framework for

reporting new knowledge about how to improve health care. Available at www.squire-statement.org/

Patient Cases

As a critical care pharmacist, you are involved in a QI program. Which TJC measure is best known to be

affected by the critical care pharmacist?

vascular reperfusion therapy.

As part of a QI initiative, you identify an increase in the monthly rate of catheter-related bloodstream infec-

tions in your ICU. You decide to evaluate the current practice using LEAN methodology. Which is the best

example of a component of LEAN?