DNP: Patient Outcome & Sustainable Change

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Topic: Case Report: Application of Quality and Safety Concepts
In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.
General Guidelines:
Use the following information to ensure successful completion of the assignment:
· Doctoral learners are required to use APA style for their writing assignments.
· This assignment requires the inclusion of at least three additional scholarly research sources related to this topic, and at least one in-text citation from each source.
· You are required to submit this assignment to LopesWrite.  
Construct a case report (2,500-3,000 words/approximately 10-12 pages) that includes a problem or situation consistent with a DNP area of practice.
1. Review the AHRQ and the IOM report (“To Err Is Human” and “Crossing the Quality Chasm“) to develop the case report.
2. Apply quality and/or safety concepts to describe the understanding of the problem or situation of focus.
3. Apply one or more quality and/or safety concepts to the recommended intervention or solution being proposed.
4. Develop the case report across the entire scenario from the identification of the clinical or health care problem through the proposal for an intervention, implementation, and evaluation using an appropriate research instrument.
5. Describe the evaluation of the selected research instrument in the case report.
6. Lastly, explain in full the tenets, rationale for selection (empirical evidence), and clear application using the language of quality and/or safety within the case report.
Case Report Requirements:
In addition, your case report must include the following:
1. Introduction with a problem statement.
2. Brief literature review.
3. Description of the case/situation/conditions explained from a theoretical perspective.
4. Discussion that includes a detailed explanation of the synthesized literature findings.
5. Summary of the case.
6. Proposed solutions to remedy gaps, inefficiencies, or other issues from a theoretical approach.
7. Identification of a data collection instrument to evaluate the proposed solution along with a description of how the instrument could be evaluated.
8. Conclusion.
You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to the DNP resources in the DC Network.
Study Materials
Read Chapter 6 in Outcome Assessment in Advanced Practice Nursing 4e.
 Tucker, C., Arthur, T., & Roncoroni, J. (2013). Patient-centered, culturally sensitive health care. American Journal of Lifestyle Medicine, 9(1), 63-77. doi:10.1177/1559827613498065
Park, Y., & Martin, E. G. (2018). Geographic disparities in access to nursing home services: Assessing fiscal stress and quality of care. Health Services Research, 53, 2932-2951. doi:10.1111/1475-6773.12801
 Barsell, J., Everhart, R. S., Miadich, S. A., & Trujillo, M. A. (2018). Examining health behaviors, health literacy, and self-efficacy in college students with chronic conditions. American Journal of Health Education, 49(5), 305-311.
 Nguyen, T. H., Park, H., Han, H-R., Chan, K. S., Paasche-Orlow, M. K., Haun, J., & Kim, M. T. (2015). State of the science of health literacy measures: Validity implications for minority populations. Patient Education & Counseling, 98(12), 1492-1512. doi:10.1016/j.pec.2015.07.013
Pronovost, P. J., Cleeman, J. I., Wright, D., & Srinivasan, A. (2016). Fifteen years after To Err is Human: A success story to learn from. BMJ Quality & Safety, 25(6), 396. doi:10.1136/bmjqs-2015-004720
Mitchell, I., Schuster, A., Smith, K., Pronovost, P., & Wu, A. (2016). Patient safety incident reporting: A qualitative study of thoughts and perceptions of experts 15 years after “To Err is Human.” BMJ Quality & Safety, 25(2), 92. doi:10.1136/bmjqs-2015-004405
Califf, R. M., Robb, M. A., Bindman, A. B., Briggs, J. P., Collins, F. S., Conway, P. H., & Sherman, R. E. (2016). Transforming evidence generation to support health and health care decisions. The New England Journal of Medicine, 375(24), 2395-2400. doi:10.1056/NEJMsb1610128
AHRQ: Agency for Healthcare Research and Quality. (n.d.). Health literacy measurement tools (revised).
Explore the National Committee for Quality Assurance website.
Institute of Medicine. (1999). To err is human: Building a safer health system. Washington, DC: National Academy Press.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
Explore the Patient Centered Medical Home: Resource Center page on the Agency for Healthcare Research and Quality website.
Explore the Primary Care Collaborative website.
Explore the Health Literacy page on the National Network of Libraries of Medicine website.
Explore the Health Literacy Online page on the Office of Disease Prevention and Health Promotion website.

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