Quality improvement processes

1.
Competency
Apply quality improvement processes utilizing data from outcome measures in the clinical microsystem.

Student Success Criteria
View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

Scenario
You are applying for the role of quality assurance manager at a large health care system. One of the job application requirements is to provide an example of the quality improvement process, from beginning to end, to demonstrate your understanding of how this process requires action at the clinical microsystem level. As a former bedside nurse, you have a wealth of experience to bring to this example and want to be sure to include how continuous quality improvement processes must be applied at this level of care.

Instructions
Consider one of the following to identify an example of how quality improvement must be applied to the clinical microsystem:
o HCAHPS Scores
o Medication Error Incident Reports
o A Sentinel Event (death or serious injury not related to the natural course of the client’s illness)
o A breach in protocol or standard of nursing practice

As you develop your example for your job application, include the following elements in a Word document:
o Mechanisms to identify a potential problem regarding quality of service delivery.
o Discuss techniques of data collection that may be required to illustrate the scope of the quality improvement process.
o Identify the structure, process, or outcomes standards to place this quality improvement initiative in a context for action.
o Identify the standards that will be used to gauge the effectiveness of the quality improvement effort.
o Describe steps the organization (system) could or should take to avoid this quality issue in the future.

Sample Solution

Pharmaceutical nanocarriers, that are designated as NPDDS, can be classified in different ways, which are according to the raw materials, physicochemical characteristics (size, charge, number of lamellae, permeability), preparation methods, in vivo behavior. In a classification according to the materials used in their preparation, NPDDS can be of lipidic nature as liposomes, micelles, Transfersomes, and solid lipid nanoparticles, or of polymeric nature as nanoparticles, micelles, and niosomes [65-67].

Various materials can be used to prepare nanoparticles such as proteins, polysaccharides and synthetic polymers. The choice of matrix materials is dependent on numerous factors, including : (a) size of nanoparticles required; (b) natural properties of the drug, e.g., aqueous solubility and stability; (c) surface characteristics such as charge and permeability; (d) degree of biodegradability, biocompatibility and toxicity; (e) Drug release profile wanted; and (f) Antigenicity of the final product.

In recent years, polymer–nanoparticle composite materials have attracted the attention of a number of researchers, due to their synergistic and hybrid properties derived from several components. Whether in solution or in bulk, these materials offer unique properties (mechanical, electrical, optical and thermal) [69].
The field of polymer nanoparticles (PNP) is rapidly growing and playing a pivotal role in a broad spectrum of areas ranging from electronics to the Photonics, conducting materials to sensors, medicine to biotechnology, pollution control of environmental technology, and so forth, during the last decades [70, 71] . New and newer polymers have been trying to develop nanoparticles for their application as drug carriers. Craparo et al., 2008 described the preparation and physicochemical and in vitro biological characterization of nanoparticles based on PEGylated, acryloylated polyaspartamide polymers.

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