Assignment: NR706: Week 6 Practice Problem Analysis and Presentation Failure Mode and Effects Analysis Template
Assignment: NR706: Week 6 Practice Problem Analysis and Presentation Failure Mode and Effects Analysis Template
Assignment
Purpose
The purpose of this assignment is to critically evaluate a practice problem idea you identified. This assignment builds on the Week 4 assignment. Information used in the Week 4 assignment may be used as a basis for this assignment. The goal is to develop a deeper understanding of the identified practice problem idea, using two continuous quality improvement tools, specifically, a Failure Mode and Effects Analysis (FMEA) and an Ishikawa (fishbone) cause and effect diagram to analyze, improve, and mitigate related risks. This assignment will allow you to apply competencies through sequential development of workflow steps in relation to an identified practice problem idea and promotion of presentation skills. Assignment content supports professional formation, communication, and dissemination skills relevant to the DNP-prepared nurse.
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Instructions
This assignment has four components:
Identified practice problem idea in PICOT format
Failure Mode and Effects Analysis
Ishikawa (Fishbone) cause and effect diagram
Professional PowerPoint with speaker notes at the bottom of each slide to disseminate information
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
Consider the identified practice problem idea used in the Week 4 translation science project including PICOT, background, and significance. Incorporate course faculty feedback from the Week 4 assignment.
Review the examples of the failure mode and effects analysis and fishbone diagram in the Week 4 Explore section of the course called Evidence-Based Practice: Improving Outcomes.
Download the required documents inserted in the guidelines:
Link (PPT): PowerPoint TemplateLinks to an external site.
Link (Word doc): Failure Mode and Effects Analysis TemplateLinks to an external site.
Link (Word doc): Ishikawa Fishbone Template ALinks to an external site. (Word 2016 or higher)
Link (Word doc): Ishikawa Fishbone Template BLinks to an external site. (older version of Word)
Complete the failure mode and effects analysis and then the Ishikawa fishbone diagram. The Ishikawa fishbone diagram requires Word 2016 to download. If you do not have the Word 2016 version, you may update your current version of Word (click on the following link for instructions: Office 365Links to an external site.) or use the alternative version provided or create your own fishbone diagram as long as you are addressing the five areas:
People
Environment
Materials
Methods
Equipment
Create the PowerPoint Presentation.
The assignment should include the following components. Use the templates provided for the assignment. 
Introduction (1 slide)
Title of Practice Problem Analysis Presentation
Student Name
Assignment Title
Course Faculty Name
Practice Problem Identification (1-3 slides)
State identified practice problem as a PICOT question in question format.
Identify all PICOT components.
Describe the background and significance of the identified practice problem idea (cited).
Develop inclusion criteria for the population of interest.
Develop exclusion criteria for the population of interest.
Failure Mode and Effects Analysis (1-2 slides)
Identify three steps in the identified practice problem idea process with potential breakdown or process gaps.
Identify at least one potential error (failure mode) for each of the three process steps.
Identify at least one possible cause of failure (failure cause) for each of the three process steps.
Identify at least one adverse consequence (failure effect) for each of the three process steps.
Using a scale 1-10, rate likelihood of occurrence of failure for each process step.
Using a scale 1-10, rate likelihood of detection of failure for each process step.
Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step.
Calculate the Risk Profile Number (Multiply likelihood of occurrence X likelihood of detection X likelihood of severity or harm).
Summarize FMEA analysis.
Note: The following article has scoring guidelines for FMEA ratings which may be helpful.
Warnick, R. E., Lusk, A. R., Thaman, J. J., Levick, E. H., & Seitz, A. D. (2020). Failure mode and effects analysis (FMEA) to enhance safety and efficiency of Gamma Knife Radiosurgery.Links to an external site. Journal of Radiosurgery and SBRT, 7, 115-125.
Ishikawa (Fishbone) Cause and Effect Diagram (1-2 slides)
Identify people involved in the identified practice problem idea.
Identify the environment in which the identified practice problem idea occurs.
Identify the materials used.
Identify the methods used.
Identify the equipment used.
Summarize cause and effect analysis.
Evidence-Based Intervention (1 -2 slides)
Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT).
Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses.
Discuss feasibility of the evidence-based intervention.
Conclusion (1 slide)
Summarize the purpose and findings of the analysis.
Provide and justify the main conclusions.
Draw inferences from the quality improvement analysis.
References (1 slide)
Include in-text citations used in the presentation.
Provide complete matching references in correct APA format.
Include minimum of four scholarly sources.
Writing Requirements
Length: Maximum of 14 slides
Standard English usage and mechanics
APA format guidelines for in-text citation and references
Clear, succinct, and readable slides
Elaboration on the slide questions
Speaker notes section with legible comprehensive notes for each slide
Graduate Re-Purpose Policy
The late assignment policy and the reuse repurpose policy (located in the student handbook) apply to this assignment.
Program Competencies
This assignment enables the student to meet the following program competencies:
Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
Appraises current information systems and technologies to improve health care. (POs 6, 7)
Course Outcomes
This discussion enables the student to meet the following course outcomes:
Assess the impact of informatics and information technology on organizational systems, change, and improvement. (PCs 2, 4; PO 6)
Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PC 4; PO 7)
Appraise consumer health information sources for accuracy, timeliness, and appropriateness. (PC 4; PO 7)
Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PCs 2, 4; PO 6)
Rubric
W6 Assignment Grading Rubric
W6 Assignment Grading Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIntroduction (1 slide)
Requirements:
a. Title of Practice Problem Analysis Presentation
b. Student Name
c. Assignment Title
d. Course Faculty Name
10 pts
Includes all requirements and provides an excellent introduction.
9 pts
Includes fewer than all requirements and/or provides a very good introduction.
8 pts
Includes fewer than all requirements and/or provides a basic introduction.
0 pts
Includes fewer than all requirements and/or provides a poor introduction.
10 pts
This criterion is linked to a Learning OutcomePractice Problem Identification (1-3 slides)
Requirements:
a. State identified practice problem as a PICOT question in question format.
b. Identify all PICOT components.
c. Describe the background and significance of the identified practice problem (cited).
d. Develop inclusion criteria for the population of interest.
e. Develop exclusion criteria for the population of interest.
50 pts
Includes all requirements and provides an excellent description of the practice problem and question.
45 pts
Includes fewer than all requirements and/or provides a very good description of the practice problem and question.
40 pts
Includes fewer than all requirements and/or provides a basic description of the practice problem and question.
0 pts
Includes fewer than all requirements and/or provides a poor description of the practice problem and question.
50 pts
This criterion is linked to a Learning OutcomeFailure Mode and Effects Analysis (1-2 slides)
Requirements:
a. Identify three steps in the identified practice problem idea process with potential breakdown or process gaps. (1-2 slides)
b. Identify at least one potential error (failure mode) for each of the three process steps.
c. Identify at least one possible cause of failure (failure cause) for each of the three process steps.
d. Identify at least one adverse consequence (failure effect) for each of the three process steps.
e. Using a scale 1-10, rate likelihood of occurrence of failure for each process step.
f. Using a scale 1-10, rate likelihood of detection of failure for each process step.
g. Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step.
h. Calculate the Risk Profile Number (Multiply likelihood of occurrence X likelihood of detection X likelihood of severity or harm).
i. Summarize FMEA analysis.
70 pts
Includes all requirements and provides an excellent failure mode and effects analysis.
63 pts
Includes fewer than all requirements and/or provides a very good failure mode and effects analysis.
56 pts
Includes fewer than all requirements and/or provides a basic failure mode and effects analysis.
0 pts
Includes fewer than all requirements and/or provides a poor failure mode and effects analysis.
70 pts
This criterion is linked to a Learning OutcomeIshikawa (Fishbone) Cause and Effect Diagram (1-2 slides)
Requirements:
a. Identify people involved in the identified practice problem.
b. Identify the environment in which the identified practice problem occurs.
c. Identify the materials used.
d. Identify the methods used.
e. Identify the equipment used.
f. Summarize cause and effect analysis.
70 pts
Includes all requirements and provides an excellent fishbone cause and effect diagram.
63 pts
Includes fewer than all requirements and/or provides a very good fishbone cause and effect diagram.
56 pts
Includes fewer than all requirements and/or provides a basic fishbone cause and effect diagram.
0 pts
Includes fewer than all requirements and/or provides a poor fishbone cause and effect diagram.
70 pts
This criterion is linked to a Learning OutcomeEvidence-Based Intervention (1 -2 slides)
Requirements:
a. Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT).
b. Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses.
c. Discuss feasibility of the intervention.
50 pts
Includes all requirements and provides an excellent evidence-based intervention discussion.
45 pts
Includes fewer than all requirements and/or provides a very good evidence-based intervention discussion.
40 pts
Includes fewer than all requirements and/or provides a basic evidence-based intervention discussion.
0 pts
Includes fewer than all requirements and/or provides a poor evidence-based intervention discussion.
50 pts
This criterion is linked to a Learning OutcomeConclusion (1 slide)
Requirements:
a. Summarize the purpose and findings of the analysis.
b. Provide and justify the main conclusions.
c. Draw inferences from the quality improvement analysis.
20 pts
Includes all the requirements and provides an excellent conclusion.
18 pts
Includes fewer than all requirements and provides a very good conclusion.
16 pts
Includes fewer than all requirements and/or provides a basic conclusion.
0 pts
Includes fewer than all requirements and/or provides a poor conclusion.
20 pts
This criterion is linked to a Learning OutcomeReferences (1 slide)
Requirements:
a. Include in-text citations used in the presentation.
b. Provide complete matching references in correct APA format.
c. Include minimum of four scholarly sources.
10 pts
Includes all requirements and provides excellent references.
9 pts
Includes fewer than all requirements and/or provides very good references.
8 pts
Includes fewer than all requirements and/or provides basic references.
0 pts
Includes fewer than all requirements and/or provides poor references.
10 pts
This criterion is linked to a Learning OutcomePresentation and Writing
Requirements:
a. Length: Maximum of 14 slides
b. Standard English usage and mechanics
c. APA format guidelines for in-text citation and references
d. Clear, succinct, and readable slides
e. Elaboration on the slide questions
f. Speaker notes section with legible comprehensive notes for each slide
20 pts
Includes all requirements and provides an excellent presentation and writing.
18 pts
Includes fewer than all requirements and/or provides a very good presentation and writing.
16 pts
Includes fewer than all requirements and/or provides basic presentation and writing.
0 pts
Includes fewer than all requirements and/or provides poor presentation and writing.
20 pts
Total Points: 300
Assignment: NR706: Week 6 Practice Problem Analysis and Presentation Failure Mode and Effects Analysis Template Sample
Directions
Place the completed FMEA form on presentation slide and summarize FMEA findings in your presentation. (See assignment guidelines, rubric, and PowerPoint template.)
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- Occurrence Likelihood rate 1-10 (10 means most likely to occur)
- Detection Likelihood rate 1-10 (10 means least likely to be detected)
- Severity rate 1-10 (10 means most likely to cause severe harm)
To calculate Risk Profile Number: Multiply Occurrence Likelihood Times Detection Likelihood Times Severity Rate = Risk Profile Number
Step in Process | Failure
Mode |
Failure Cause | Failure Effect | Occurrence Likelihood | Detection
Likelihood |
Severity | Risk Profile Number | Actions to Mitigate Risk |
1. Discharge planning
|
Lack of comprehensive education of the patient about adherence to medications. | Inadequate resources and lack of time to provide the patients with extensive education. | The patients are not likely to understand on the importance of compliance to medication, leading to low rates of adherence and the likelihood or relapses. | 6 | 5 | 8 | 240 | Utilization of tools for screening of opioid use
Initiate referral of patients abusing opioids |
|
Errors in prescription or reconciliation of medication issues. | Lack of adequate communication among the healthcare workers or incomplete history of the patients. | Patients getting incorrect medications and dosages. | 7 | 6 | 9 | 378 | Provide the patients with counselling on their plan of care during discharge
Monitor the patient’s adherence to the prescribed medications Have two step verification of the prescription of correct medications and their dosages |
3. Follow-up services
|
Absence of follow-up services for the patients in the community settings | Limited resources for follow-up services or lack of communication between healthcare workers and the workers in the community-based treatment programs. | Patient do not receive essential monitoring and support needed to help them to avoid relapsing or readmission to the hospitals. | 7 | 5 | 7 | 245 | Book follow up appointments for the clients with specialists
Inform the clients about the risks of addiction and how they can prevent relapses |