Identify any existing quality concern or an existing patient safety issue and provide the rationale for choosing this issue. Explain the background and scope of the problem. Analyze the issue based on the appropriate quality philosophy.
Identify the regulatory guidelines, internal and/or external benchmarks, or evidence-based practice standards surrounding the issue—explain what that expectation is and why.
Use the appropriate quality improvement tools to improve the quality outcome. Describe how you could or will get involved in this initiative to make a difference and move it forward to enactment. Summarize the content in concluding statements.