Quality And Safety Gap Analysis Discussion
CU_Horiz_RGB Assessment 1 Guiding Questions
Quality and Safety Gap Analysis
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Quality and Safety Gap Analysis assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.
Conducting the Gap Analysis
Identify a systemic problem in your organization, practice setting, or area of interest that contributes to adverse quality and safety outcomes.
What is the nature and extent of the problem?
How does this problem contribute to adverse quality and safety outcomes?
What are the consequences of not addressing the problem?
Propose specific practice changes that will improve quality and safety outcomes and bridge the gap between current and desired performance.
What is the performance gap? How does it relate to quality and a safety concerns?
Why will your proposed changes result in improved outcomes?
Prioritize proposed practice changes.
Which changes are most important in relation to quality and safety and organizational outcomes?
What are your reasons or criteria for determining the order of priority? How does your rationale relate organization’s strategic plan?
Determine how proposed practice changes will foster a culture of quality and safety.
What effects will your proposed changes have on attitudes and behaviors within your practice setting?
As you think about the current culture in the organization, what is most complex about initiating a change?
Determine how a particular organizational culture and hierarchy might affect quality and safety outcomes.
What are the defining characteristics of the culture, hierarchy and leadership?
How might the culture or hierarchy shape either positive or negative outcomes?
Justify necessary changes with respect to functions, processes, or behaviors, specific to your organization.
For example, consider such functions, processes, and behaviors as leadership practices, communications, quality processes, financial management, safety and risk management, interprofessional collaboration, strategic planning, using the best available evidence, and questioning the status quo on all levels.
What is theoretical or evidenced-based information supports the proposed changes?
Why are these changes necessary?
How will each change correct or mitigate adverse quality and safety outcomes?
Writing, Supporting Evidence, and APA Style
Communicate analysis data and information clearly and accurately, using correct grammar and mechanics.
Be clear and concise in your analysis.
Express your main points and conclusions coherently.
Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.
Integrate relevant and credible sources of evidence to support your assertions, correctly formatting citations and references using APA style.
Integrate relevant evidence from 3–4 scholarly or professional sources.
Have you adequately addressed a systemic problem that adversely affects quality and safety outcomes?
Have you proposed specific practice changes that will effectively close performance gaps?
Have you prioritized proposed practice changes nd justified the order of priority?
Have you determined how your proposed changes will affect attitudes and behaviors within your practice setting?
Are you confident in your rationale for proposing necessary changes in organizational functions, processes, or behaviors?
Are your claims and conclusions well supported by 3–4 sources of credible evidence?
Is your analysis properly formatted and 4–5 pages in length, including the title page and reference page?
Have you proofread your writing to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation?