Discuss how the perspectives for the PICOT differ depending on the discipline represented by each stakeholder? What impact will they have
Question 1:
You are the unit director of the emergency department and part of an ad hoc
interdisciplinary committee newly formed to address a 30% rise in arrival-to- provider
time over the past six months. Six months ago, the ED consistently recorded an arrival-to-
provider time less than the national benchmark of twenty minutes. The arrival-to-
provider time is presently over one hour. A root cause analysis study finds that arrivals to
the ER have increased by 50% and the lobby is usually filled to capacity. Often patients
must stand due to lack of adequate seating. FTEs have not been added and staffing is
consistently short due to call-offs. Patients are not being discharged from inpatient beds
in a timely manner. The task for the committee is to propose a solution for the problem.
Looking at this through the lens of an evidence-based quality improvement process, what
would you propose as the PICOT for this initiative? Who are the stakeholders
represented in your group? (Remember, this is an internal organizational issue, and while
patients are impacted by the issue and are the beneficiaries of the work done, they would
not be included in this type of task force)
Question 2:
Discuss how the perspectives for the PICOT differ depending on the discipline
represented by each stakeholder? What impact will they have on the group process and in
team building? How is the group process and team building effected by the organization’s
culture and climate of transparency and safety? How will the outcomes of the committee
be impacted?
Answer preview for Discuss how the perspectives for the PICOT differ depending on the discipline represented by each stakeholder? What impact will they have
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