Directions
As the patient quality and safety analyst, you have been asked by the director of patient quality and safety to analyze the data to discover useful information, inform conclusions, and support decision making. Specifically, the director of patient quality and safety wants to know whether the hospital met its internal performance targets for nurse staffing and patient wait times. You have been asked to do the following:

Compare actual data for nurse staffing and patient wait times to internal performance targets and determine data points that fell short of, met, or exceeded internal performance targets.
Discuss the implications for Downtown Hospital regarding your findings. What do your findings mean? Did you meet your goals?
Support your analysis with evidence from the data provided.
The director of patient quality and safety is also interested in examining the relationships among various measures at Downtown Hospital. Specifically, you have been asked to examine the data to do the following:

Determine the relationships that exist among nurse staffing, patient wait times, and satisfaction. For instance, as one measure increases, do you notice the other measures increase, decrease, or stay constant?
Discuss the implications for Downtown Hospital regarding your findings. What do your findings mean? Are these measures related to one another?
Support your analysis with evidence from the data provided.
Safety is a high priority for Downtown Hospital. To see how it measures up to hospitals across the country, you will do the following:

Compare outcome data for medication administration errors and healthcare-acquired infections (HAIs) to the national average data and determine data points that fell short of, met, or exceeded the national average. Did your hospital’s percentage of medication errors and HAIs fall within the ranges for the national average?
Discuss the implications for Downtown Hospital regarding your findings. What do your findings mean? How did the hospital’s number of medical errors and HAIs compare with the national average? How might this affect patient safety?
Support your analysis with evidence from the data provided.
Over time, research has established new protocols and safety regulations at healthcare organizations across the country. If these protocols are followed properly, the number of medication errors should decrease. You have been asked to examine trends in medical errors to do the following:

Determine how the number of medication administration errors has changed over time at Downtown Hospital. Has the measure increased or decreased over the past two years?
Discuss the implications for Downtown Hospital regarding your findings. Given the various measures of data, does it appear that the hospital has improved its quality, safety, and patient satisfaction over the last two years?
Support your analysis with evidence from the data provided.
Outliers in the data should always be explored to determine their source and possible meaning. Outliers can be weak or strong and result from such things as data collection errors, sampling inconsistencies, or variability in the measurements. You can compare individual values against the average to identify outliers. Specifically, the director of patient quality and safety is interested in any outliers that are evident in the data. You will do the following:

Identify outliers in the data for average patient wait times and HAIs over the past two years.
Discuss the implications for Downtown Hospital regarding your findings. Consider what each significant outlier suggests about quality, safety, and satisfaction. Does the outlier have positive or negative implications for your hospital?
Support your analysis with evidence from the data provided.

What to Submit
Every project has a deliverable or deliverables, which are the files that must be submitted before your project can be assessed. For this project, you must submit the following:

Report to the Director of Patient Quality and Safety
Submit a report of your findings and supporting evidence to the director of patient quality and safety. Your report should present your findings in a clear and concise manner using Microsoft Word. Although it is not required, consider including graphs or figures to refer to throughout your report by simply copying them from the Data Report_Graphs sheet in the data report provided. Cite all sources appropriately.

Informed Decision Making