Quality Improvement Study Template - Implementation Guide

Slide 1: Quality Improvement Study Template

<Project Title>

<name> Ambulatory Surgery Center

<insert date>

Slide 2: Problem Statement

• <insert problem statement here>

Slide 3: Improvement Team

• Project Leader(s)
  – <insert name>
• Team Members
  – <insert name> -  Administrator/Manager
  – <insert name> -  Anesthesiologist/Certified Registered Nurse Anesthetist
  – <insert name> -  Circulating Nurse
  – <insert name> -  Scrub Technician
  – <insert name> -  Surgeon
  – <insert name> -  Data collector
  – <insert name> -  Anesthesia Technician
  – <insert name> -  Pre-op/Post-Anesthesia Care Unit Nurse (PACU)
  – <insert name> -  Physician Assistant
  – <insert name> -  Infection Preventionist

Slide 4: Data Description

• What:
• Where:
• What you’re using to collect data:
• Who:
• Exclusions:
• Who will collect data:
• Collection period:

Slide 5: Data Collection

• Baseline data collection period:
• Number of cases observed:
• Data collected
  – <insert how data were collected>

Slide 6: Baseline Data

Data collection period: 
Exclusions: 

Slide 7: The Goal

<insert goal>

Slide 8: Data Comparison

Slide 9: Data Comparison

Goal:

Observed performance:

Current performance: Below Goal by X or Goal Achieved

Slide 10: Cause of the Problem

<insert observed causes of the problem>

Slide 11: Corrective Actions/Interventions

• Intervention:
• Target:
• Timeframe:

Slide 12: Materials Developed (optional)

Slide 13: Change Data

Pre-Intervention

Post-Intervention

Data collection period: 
Exclusions: 

Slide 14: Data Comparison

Slide 15: Data Comparison

Goal:

Observed performance:

Current performance: Below Goal by X or Goal Achieved

Slide 16: Additional Corrective Actions or Remeasurements

• Intervention:
• Target:
• Timeframe:

Slide 17: Materials Developed (optional)

Slide 18: Remeasurement

Post-Intervention # 1

Post-Intervention # 2

Data collection period: 
Exclusions: 

Slide 19: Data Comparison

Slide 20: Data Comparison

Goal:

Observed performance:

Current performance: Below Goal by X or Goal Achieved

Slide 21: Conclusions

• <insert conclusions>

Slide 22: Communication/Reporting of Findings

• The results of this study were shared with the board on XX/XX/2015
• <insert excerpt from board meeting minutes>

Slide 23: Sustaining the Gains

Performance was reassessed X months after the goal was achieved

Data collection period:
Exclusions:

Slide 24: Sustaining the Gains

Slide 25: Future Work

• <insert future work>