Concept Analysis Diagram – Quality Improvement



Nursing PracticeDirected toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome.AttributesDefining characteristics of the concept What property, quality, or data must be present for the concept to exist AntecedentsWhat precedes the concept for it to existEvents or incidents that must happen before the conceptConsequencesUntoward events or outcomes that occur due to malfunction within the conceptPositive events or outcomes that occur due to proper functioning within the conceptInterrelated ConceptConcepts which can affect change in the otherConcepts which work together to ensure a normal process Concepts which if depleted or impaired can cause a negative consequence in the otherSub-ConceptCritical components of major concept3721100118110Evidence-Based Practice00Evidence-Based Practice4714240111125Health Policy00Health Policy3492533020Nursing Practice00Nursing Practice184277097155AttributesSafe, Effective, Timely, Patient-Centered CareOutcome MeasurementAccreditationQI Policy and Procedures00AttributesSafe, Effective, Timely, Patient-Centered CareOutcome MeasurementAccreditationQI Policy and Procedures422084512636500505968055880Safety00Safety1285875508000440753532385004443730254000042640258954770Violence/Agitation00Violence/Agitation4457700403860004450080167640004714875839470Health Information Technology00Health Information Technology504380510160Health Promotion00Health Promotion345757518415000029781502513965Positive00Positive-229235782320AntecedentsMission & Vision of OrganizationTransparencyAccountabilityStandards of CareCommunication00AntecedentsMission & Vision of OrganizationTransparencyAccountabilityStandards of CareCommunication4950460387350Teamwork and Collaboration00Teamwork and Collaboration333565514820900012503151925320001528445639445Quality ImprovementA systematic process that health care organizations and professionals use to measure patient outcomes, identify hazards and errors, and to improve care.00Quality ImprovementA systematic process that health care organizations and professionals use to measure patient outcomes, identify hazards and errors, and to improve care.44500804102100050082452903855Patient/Staff Dissatisfaction00Patient/Staff Dissatisfaction427164525380950036709353010535Poor Patient Outcomes00Poor Patient Outcomes446976533591500037287201273810Consequences(Outcomes)00Consequences(Outcomes)46291502246630004622165236093000459295525361900050609502045335High Cost of Care00High Cost of Care49771302504440Lack of Trust00Lack of Trust42487853575050Death00Death305054051752500-3987802515870Regulations00Regulations-3816353142615Culture of Safety00Culture of Safety33432752818130002950210282511500282194028321000030327603655060Improved Clinical Outcomes00Improved Clinical Outcomes21431253411855Continuity of Care00Continuity of Care20256502833370Standards of Practice00Standards of Practice4641853453765Best Practices00Best Practices495300901700010864851272540002449830210185004157980183324500355854096520Interrelated Concepts00Interrelated Concepts4121152951480007048502938145004000502661920007905752494915Sub -Concepts00Sub -Concepts39255702215515Negative00NegativeExplanation of Quality Improvement Concept Analysis Diagram:The Quality Improvement (QI) concept analysis diagram depicts what must be in place for the concept to exist, what measures its optional existence, what the outcomes are when it is effective or ineffective, and the concepts which are interrelated to Quality Improvement. The antecedents which must exist in order for (QI) to exist include an organization with an inclusive mission/vision which embraces transparency, accountability, standards of care, and effective communication.It is apparent that Quality Improvement exists when the attributes include patient-centered care which is safe, effective, and timely; QI policy and procedures which are in place, maintained and followed; outcomes are measured, and accreditation is maintained. When QI does not fully exist - negative consequences can occur such as high cost of care, lack of trust, patient/staff dissatisfaction, and poor patient outcomes including death. When QI effectively exists positive outcomes are expected such as continuity of care, improved clinical outcomes, and standards of practice.As with all concepts Quality Improvement either affects or is affected by other concepts. These concepts might include Health Information Technology, Health Policy, Health Promotion, Teamwork and Collaboration, and Evidence-Based Practice. Intervention would be determined by the consequences, the interrelated concepts, the assessment of attributes and identified antecedents deficits. ................
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