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1. NR 328 EBP Improving Diagnostic Safety Project
NR 328 EBP Improving Diagnostic Safety ProjectNR 328 EBP Improving Diagnostic Safety
ProjectPart 1 1. Follow these guidelines when completing this assignment. Speak with your
faculty member if you have questions. 2. Please make sure you do not duplicate articles
within your group. 3. The paper will include the following: a. Clinical Question (30
points/15%) 1. Describe the problem: What is the focus of your group’s work? 2.
Significance of problem: What health outcomes result from your problem? Or what statistics
document this is a problem? You may find on websites for government or professional
organizations. 3. Purpose of the paper: What will your paper do or describe b. Evidence
Matrix Table: Data Summary (Appendix A) – (60 points/30%) Categorize items in the
Matrix Table, including proper intext citations and reference list entries for each article. 1.
References (recent publication within the last 5 years) 2. Purpose/Hypothesis/Study
Question(s) 3. Variables: Independent (I) and Dependent (D) 4. Study Design 5. Sample Size
and Selection 6. Data Collection Methods 7. Major Findings (Evidence) c. Description of
Findings (60 points/30%) Describe the data in the Matrix Table, including proper intext
citations and reference list entries for each article. 1. Compare and contrast variables within
each study. 2. What are the study design and procedures used in each study; qualitative,
quantitative, or mixed method study, levels of confidence in each study, etc.? 3. Participant
demographics and information. 4. Instruments used, including reliability and validity. 5.
How do the research findings provide evidence to your clinical problem, or what further
evidence is needed to answer your question? 6. Next steps: Identify two questions that can
help guide the group’s work. d. Conclusion (20 points/10%) Review major findings in a
summary paragraph. 1. Evidence to address your clinical problem. 2. Make a connection
back to all the included sections. 3. Wrap up the assignment and give the reader something
to think about. e. Format (30 points/15%) 1. Correct grammar and spelling 2. Include a title
and reference page 3. Use of headings for each section: o Problem o Synthesis of the
Literature ? Variables ? Methods ? Participants ? Instruments ? Implications for Future
Work 4. Conclusion 5. Adheres to current APA formatting and guidelines 6. NR 328 EBP
Improving Diagnostic Safety ProjectORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE
PAPERSInclude at least two (2) scholarly, current (within 5 years) primary sources other
than the textbook 7. 3-4 pages in length, excluding appendices, title and reference pages.
For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing
page in the online library Part 2 Give one example of a data collection method used in one of
the studies identified in the RUA project. What variable was this method used to measure?

2. RUA: Analyzing Published Research Guidelines Evidence Matrix Table Arti cle Reference s 1
(SA MP LE ART ICLE ) Smith, Lewis (2013), What should I eat? A focus for those living with
diabetes. Journal of Nursing Education, 1 (4) 111112. 1 2 3 4 5 Purpose Hypothesis Study
Question(s) How do educational groups effect dietary modifications in patients with
diabetes? Variables Independent( I) Dependent(D ) D-Dietary modifications I-Education
Study Design Quantitative Sample Size & Selection N- 18 Convenience sample-selected from
local group in Pittsburgh, PA Data Collection Methods Focus Groups Major Finding(s)
and education improved compliance with dietary modifications. EVIDENCEBASED CARE
SHEET National Patient Safety Goals (The Joint Commission, 2018): Reporting Critical
Results of Tests and Diagnostic Procedures What We Know › The Joint Commission (TJC) is
an independent, not-for-profit organization responsible for accrediting and certifying nearly
21,000 healthcare organizations in the United States(2) • TJC evaluates healthcare
organizations (e.g., ambulatory care facilities, behavioral health facilities, acute care
hospitals, critical access hospitals [i.e., rural health facilities with ? 25 beds and patient
lengths of stay of ? 96 hours], home health agencies, long-term care facilities, laboratory
services, clinician offices providing outpatient surgery) to verify that they consistently
provide high quality, safe, and effective health care(2) –Healthcare organizations are
evaluated according to standards that are developed with input from healthcare providers
and other professionals, consumers, experts in certain subject matters, focus groups, and
governmental agencies(2) – TJC standards are based on current research findings; new
standards that are added must be readily measureable, meet or surpass current healthcare
regulations, positively affect health outcomes, and relate either to quality of health care or
patient safety(2) ›NR 328 EBP Improving Diagnostic Safety ProjectTJC National Patient
Safety Goals (NPSGs) were established in 2002.(3) Each year TJC provides a list of NPSGs
intended to improve patient safety(3) • TJC examines sentinel event reports (i.e., reports of
unexpected healthcare events that result in serious physical or psychological injury or
death), healthcare databases, and medical safety literature to create a list of NPSGs(2,3) –
Some NPSGs are newly created and some are maintained from the previous year(1) – There
are no new NPSGs for year 2018(1) Authors Carita Caple, RN, BSN, MSHS Cinahl
Information Systems, Glendale, CA Hillary Mennella, DNP, ANCC-BC Cinahl Information
Systems, Glendale, CA Reviewers Debra Balderrama, RN, MSCIS Clinical Informatics
Services, Tujunga, CA Nursing Executive Practice Council Glendale Adventist Medical
Center, Glendale, CA Editor Diane Pravikoff, RN, PhD, FAAN Cinahl Information Systems,
Glendale, CA June 1, 2018 • Each NPSG contains specific elements of performance (EP; i.e.,
implementation requirements) that are measureable evidence- and expert-based strategies
for achieving the NPSG(3) • Healthcare organizations that do not satisfactorily adopt the
safety practices associated with the NPSGs risk losing TJC accreditation(1,3) • When the
majority of healthcare organizations have satisfactorily adopted the safety practices
associated with an NPSG, the NPSG is incorporated into TJC accreditation standards(1,3)
›NR 328 EBP Improving Diagnostic Safety ProjectTJC has identified improving the
effectiveness of communication among caregivers in hospitals, critical access hospitals, and
laboratories as goal 2 effective January 1, 2018(3) • NPSG.02.03.01 requires hospitals,
critical access hospitals, and laboratories to improve the reporting of critical results of tests

3. and other diagnostic procedures in a timely manner(3) –A critical result (also referred to as
a critical value) is a laboratory value or other diagnostic test result that is significantly
outside the range of values considered normal and could be life threatening if not
immediately corrected (e.g., a serum potassium Published by Cinahl Information Systems, a
division of EBSCO Information Services. Copyright©2018, Cinahl Information Systems. All
rights reserved. No part of this may be reproduced or utilized in any form or by any means,
electronic or mechanical, including photocopying, recording, or by any information storage
and retrieval system, without permission in writing from the publisher. Cinahl Information
Systems accepts no liability for advice or information given herein or errors/omissions in
the text. It is merely intended as a general informational overview of the subject for the
healthcare professional. Cinahl Information Systems, 1509 Wilson Terrace, Glendale, CA
91206 level that is either significantly decreased [e.g., 2.9 mEq/L] or significantly increased
[e.g., 6.0 mEq/L])(4) –The purpose of NPSG.02.03.01 is to ensure that critical results are
communicated to the healthcare clinician within an agreed-upon time period so that
treatment can be promptly initiated(3) – Delays and inaccuracies in reporting critical
results can result in significant patient harm and death due to treatment delays and
errors(5) –NPSG.02.03.01 is comprised of the following 3 EPs:(3) – Healthcare
organizations must develop written procedures that – define the parameters for critical
results. TJC has not set definitive parameters for critical results and expects that
determination to be made by individual organizations(3) – determine by whom and to
whom critical results are reported(3) – Critical results should never be communicated to an
answering service or left in a message on an answering machine(6) – TJC requires
documentation that critical results were communicated to the physician(3) – determine the
time period within which critical results must be reported; this is assessed from the time
the results are available, not the time the specimen was obtained(3) – Repeat testing of
critical values is commonplace but might not be clinically useful. Researchers who reviewed
critical value results from 86 laboratories reported that repeated results were rarely
considered significantly different. For 10% of laboratories, repeat testing took an additional
17 to 21 minutes, and 20% of laboratories reported at least 1 adverse patient outcome as a
result of a delayed result(4) NR 328 EBP Improving Diagnostic Safety Project