Manager Quality has been asked by senior leadership in her organization to spearhead a group to
evaluate patient falls in order to decrease their frequency and ideally prevent them from occurring.
Based on the risk management data available, she selects a multidiscipline team from the four patient
care units in which patient falls are most prevalent. She adds a pharmacist and physician to her team to
represent the pharmaceutical and medical care aspects of the issue. She then applies the PDCA
Process to her project on patient falls.
Prepare a written guide of this PDCA process, defining each step specific to the problem identified of
patient falls. This written guide should demonstrate clear evidence of the Continuous Quality
Improvement Model. Be sure when describing the “P” in PDCA, to include the use of a flowchart and
cause-and-effect/ fishbone (Ishikawa) diagram. You must also include 1 data tool of your choice in your
written PDCA guide, using hypothetical data. You may include “made-up” data and “make-believe”
circumstances to compile this information. Remember to include any references utilized, with the
exception of class notes.
Draw the diagrams and insert within the paper or as appendices.

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