Research, EBP, QI, & PI: What is the difference?

IRB approval

100

Always requires IRB approval. Choose from: Research, EBP, QI, PI

What is research.

200

Might require IRB approval or might not. May require a conversation with IRB administration before proceeding, depending on the types of outcome measures used to evaluate outcomes. Always best to get permission prior to collecting data. Choose from: Research, EBP, QI, PI

What is an EBP project.

300

Usually does not require IRB approval, but depends on outcome measures. Choose from: Research, EBP, QI, PI

What is QI or sometimes What is EBP?

400

Should not require IRB approval. Choose from: Research, EBP, QI, PI

What is Process Improvement. Process improvement is seeking to streamline processes and eliminate waste. The goal is not to generate new knowledge.

500

This includes initiatives to improve care with outcomes evaluation and possible development of clinical guidelines or protocols. These projects fall under the category of health care operations under HIPAA - provided the primary aim is not obtaining generalizable knowledge. Choose from: Research, EBP, QI, PI

What is QI or What is EBP

Aim of Project

100

Aims to improve patient care through continual evaluation of processes. Choose from: Research, EBP, QI, PI

What is Quality Improvement. Systematic and continuous actions lead to measurable improvement in health care services and the health status of targeted patient groups. Example: PDSA

200

Aims to discover new knowledge that would be generalizable beyond the local institution. Choices: Research, EBP, QI, PI

What is research. Example: Which method verifies placement of an NG tube with highest accuracy in the premature infant population?

300

Aims to apply knowledge from research and other sources of evidence to change practices that directly affect patient outcomes. Choices: Research, EBP, QI, PI

What is evidence based practice.

400

Striving for perfection by eliminating waste. Choices: Research, EBP, QI, PI.

What is process improvement. On Cooknet: "Using Lean and Six Sigma methodologies, we will strive for perfection by eliminating waste, and improving processes that add value to patients' and families’ experiences."

500

Strives to eliminate D.O.W.N.T.I.M.E.= Defects, Overproduction, Waiting, Needless Inventory, Transportation, Injuries, Motion, Extra Processing. Choices: Research, EBP, QI, PI

What is process improvement? D.O.W.N.T.I.M.E is the acronym for the 8 kinds of waste we try to eliminate in Process Improvement.

Required Processes

100

Uses PDSA (Plan Do Study Act) to evaluate processes. Choices: Research, EBP, QI, PI.

What is QI? or What is Process Improvement?

200

Uses Lean Six Sigma and techniques like Kaizen, SIPOC, and value stream mapping

What is process improvement? Lean Six Sigma is a systematic framework to govern continuous improvement.

300

Uses the IOWA model to guide practice. Choice: Research, EBP, QI, PI.

What is EBP? The Iowa model is similar to other change models, but has the extra steps of finding the evidence and first piloting the evidence before wide-spread adoption.

400

Requires formation of a PICO question. Choice: Research, EBP, QI, PI.

What is EBP? PICO stands for Population, Intervention, Comparison, Outcome. This helpful question can focus your evidence search.

500

Requires development of a study protocol, and a study training and procedures manual. Choice: Research, EBP, QI, PI.

What is research?

Examples

100

Study to determine the impact of journey mapping on outcomes for patients in the IRF setting. Choice: Research, EBP, QI, PI.

What is research? When we didn't have much evidence to implement, we started first with a research study to generate knowledge.

200

Implementing a post fall huddle program to prevent falls in a post stroke patient population. Choice: Research, EBP, QI, PI.

What is EBP?

300

Falls incidence and injury on-going data monitoring. Choice: Research, EBP, QI, PI.

What is QI?

400

Therapy department project to reduce "no show" rate and develop a process to capture 100% of billing. Choice: Research, EBP, QI, PI.

What is process improvement?

500

What are the best biobehavioral/non-pharmacological methods to reduce phantom pain in patients after limb loss surgery? Choice: Research, EBP, QI, PI.

What is EBP? (or) What is research? (if data is being collected to generate generalizable knowledge)

Just For Fun (from www.sotruefacts.com)

100

What is true or false: Before his acting career, Christopher Walken once worked as a lion tamer.

What is true?

200

What is true or false? McDonald's first menu item was a hamburger.

What is false? The first menu item at McDonald's was a hot dog.

300

What is true or false? Canadian researchers found that Einstein's brain was 15% smaller than normal.

What is false? They found that his brain was 15% wider than normal.

400

What is true or false? There is enough iron in a non-malnourished adult human to make a nail.

What is true?

500

What is true or false? Texas is the only state in the US that allows its residents to vote from space.

What is true?