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Assessment 1
Quality and Safety Gap Analysis
Attempt 1Available
Attempt 2
Attempt 3
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Write an analysis, 4–5 pages in length, of the gap between current and
desired performance, with respect to the provision of safe, high-quality
patient care.
Note: Each assessment in this course builds on the work you completed in
the previous assessment. Therefore, you must complete the assessments in
this course in the order in which they are presented.
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Quality and safety are everyone’s responsibility as a team of
interprofessional care delivery partners. Together we develop policies that
support quality and safe care delivery. As part of the interprofessional
team, nurses are leaders in care and thus are responsible and accountable
for leading and providing safe quality care.
Health care delivery is structured around evidenced-based information.
Quality is defined by exploring proven, evidenced-based information. After
reviewing and defining evidenced-based information, the interprofessional
team applies this knowledge to assess the organization’s or the practice
setting’s ability to provide evidenced-based care delivery. When a gap in
care is identified, it is important to propose an evidenced-based change
and to execute a plan for improved care.
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Questions to Consider
As you prepare to complete this assessment, you may want to think about
other related issues to deepen your understanding or broaden your
viewpoint. You are encouraged to consider the questions below and
discuss them with a fellow learner, a work associate, an interested friend,
or a member of your professional community. Note that these questions
are for your own development and exploration and do not need to be
completed or submitted as part of your assessment.
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MSN Program Journey
The following is a useful map that will guide you as you continue your MSN
program. This map gives you an overview of all the steps required to
prepare for your practicum and to complete your degree. It also outlines
the support that will be available to you along the way.
MSN Program Journey | Transcript.
Required Resources
The following resources are required to complete the assessment.
APA Style Paper Template [DOCX]. Use this template for your gap
Suggested Resources
The resources provided here are optional. You may use other resources of
your choice to prepare for this assessment; however, you will need to
ensure that they are appropriate, credible, and valid. The MSN-FP6212
Health Care Quality and Safety Management Library Guide can help direct
your research, and the Supplemental Resources and Research Resources,
both linked from the left navigation menu in your courseroom, provide
additional resources to help support you.
Safety and Quality
These resources address various aspects of safety and quality that will help
you with your assessment.
Arries, E. J. (2014). Patient safety and quality in healthcare: Nursing
ethics for ethics quality. Nursing Ethics, 21(1), 3–5.
Marvin, V., Kuo, S., Poots, A. J., Woodcock, T., Vaughan, L., & Bell, D.
(2016). Applying quality improvement methods to address gaps in
medicines reconciliation at transfers of care from an acute UK
hospital. BMJ Open, 6(6), 1–11.
Prakash, G. (2015). Steering healthcare service delivery: A
regulatory perspective. International Journal of Health Care Quality
Assurance, 28(2), 173–192.
Unruh, L., & Hofler, R. (2016). Predictors of gaps in patient safety
and quality in U.S. hospitals. Health Services Research, 51(6), 2258–
2281. doi:10.1111/1475-6773.12468.
Integrated Ethics: Improving Ethics Quality in Health
Care | Transcript.
Vila Health: Quality and Safety Gap Analysis | Transcript.
• This interactive exercise introduces the concept of gap
analysis, which may help you with the assessment.
Suggested Writing Resources
You can use the following additional resources to improve your writing
skills and as source materials for seeking answers to specific questions.
APA Module.
Academic Honesty & APA Style and Formatting.
APA Style Paper Tutorial [DOCX].
Capella Resources
Guiding Questions: Quality and Safety Gap Analysis.
• This document includes questions to consider and additional
guidance on how to successfully complete the assessment.
• ePortfolio.
• This resource provides information about ePortfolio,
including how to use the product’s different features.
Assessment Instructions
Your quality and safety gap analysis will provide the basis for the
remaining assessments in this course.
As a nurse leader, you are fully aware of the hazardous nature of health
care and that organizations must continually seek to improve the quality
and safety of the care they provide to patients. For this assessment, you
will identify a systemic problem in your organization, practice setting, or
area of interest associated with adverse quality and safety outcomes (for
example, an increase in the incidence of falls or medical errors) and
analyze the gap between current and desired performance.
Note: Remember that you can submit all or a portion of your draft analysis
to Smarthinking for feedback before you submit the final version for this
assessment. However, be mindful of the turnaround time of 24–48 hours
for receiving feedback, if you plan on using this free service.
‹ Note: The requirements outlined below correspond to the grading
criteria in the Quality and Safety Gap Analysis Scoring Guide. Be sure that
your written analysis addresses each point, at a minimum. You may also
want to read the Quality and Safety Gap Analysis Scoring Guide and
Guiding Questions: Quality and Safety Gap Analysis (linked in the
Resources) to better understand how each criterion will be assessed.
Conducting the Analysis
Identify a systemic problem in your organization, practice setting, or
area of interest that contributes to adverse quality and safety
• Propose specific practice changes that will improve quality and
safety outcomes and bridge the gap between current and desired
• Prioritize proposed practice changes.
• Determine how proposed practice changes will foster a culture of
quality and safety.
• Determine how a particular organizational culture or hierarchy
might affect quality and safety outcomes.
• Justify necessary changes with respect to functions, processes, or
behaviors, specific to your organization.
Writing and Supporting Evidence
Communicate analysis data and information clearly and accurately,
using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support
assertions, correctly formatting citations and references using APA
Additional Requirements
Format your document using APA style.
Use the APA Paper Template linked in the resources. Be sure to
• A title page and reference page. An abstract is not required.
• A running head on all pages.
• Appropriate section headings.
• Properly-formatted citations and references.
• Your analysis should be 4–5 pages in length, not including the title
page and reference page.
Portfolio Prompt: You may choose to save your gap analysis to your
Quality and Safety Gap Analysis
Scoring Guide
VIEW SCORING GUIDEUse the scoring guide to enhance your learning.

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