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 3: Finding and Verifying Causes
Finding and Verifying Causes
Design Additional Data Collection on Causes
This chapter covers the work needed to identify and verify the causes of the problem you are investigating. As is the case with other project objectives, the enabling objectives come first.
In this part of the research, the internal consultant is called on to be truly creative, because there are few guidelines in the literature about how to test whether a possible cause is a real cause. Most sources agree that it is not enough to rely on group consensus about the causes of ...