In the current atmosphere of closer scrutiny of healthcare practices and procedures, front-line managers and health care providers must investigate potential problems in their work environment, whether at the behest of upper management, in order to meet Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards, or through their own sense that “weÆre doing something wrong.” For the investigator with limited previous experience in evaluation or research, the prospect of undertaking this kind of investigation can appear daunting, to say the least. Quality Improvement Projects in Health Care was written just for this individual. Author Eleanor Gilpatrick, a seasoned investigator and professor of health services administration, provides a review of the basic terminology and guidelines for carrying out “nuts-and-bolts” quality improvement research. She then demonstrates how such a research project can be implemented through 14 case studies involving actual health care situations. Altogether, the cases speak to a broad array of issues and potential pitfalls for the unwary investigatorŭand they show that progress can be made in even the most difficult circumstances. Quality Improvement Projects in Health Care will be of interest to students and professionals in health sciences administration, nursing, allied health, and public health.
Chapter 2: Does the Problem Really Exist?
Does the Problem Really Exist?
Chapter 1 presented the basic terms, definitions, and concepts used in this book. Chapters 2 through 5 constitute a manual designed to help the internal consultant carry out a quality improvement project. As these chapters are a manual, the reader is free to skip to the cases or read the chapters as their contents become relevant.
Chapter 2 presents the methods to Prove Whether the Problem Exists and Its Extent. Chapter 3 deals with Verifying the Causes. Chapter 4 covers Selecting Solutions, and Chapter 5 deals with Implementing and Making Solutions Operational. The related enabling objectives are discussed in each chapter. Each chapter opens with a list of the major activities to be discussed, taken from Table ...