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    3. Problem description
    [Nature and significance of the local, organisational problem – this could be meaningful disruption, failure, inadequacy, distress, confusion or other dysfunction in your organisation that adversely affects patients, staff or the system as a whole, or that prevents care from reaching its full potential. Reference to the evidence-base will be useful…]
    4. Available knowledge
    [Summary of what is currently known about the problem, including relevant previous studies – this is a critical discussion of the evidence-base in the quality improvement/change intervention area (literature review!). Remember to identify and critique conflicting evidence and draw appropriate conclusions.]
    5. Rationale and context
    [An explanation of why you have chosen the quality improvement/change intervention, why it will work and why it is both sustainable and replicable. The context is the physical, social and cultural factors that “makes” your organisation what it is (e.g. external environmental factors, organisational dynamics, team work/collaboration, resources and leadership) and your interpretation of these factors that could affect the effectiveness and generalisability of intervention. Reference to the evidence-base will be useful…]
    6. Objectives for the proposed quality improvement/change intervention
    [How you will achieve the proposed quality improvement/change intervention – S.M.A.R.T. statements defining measurable outcomes. These can be “listed” in your assignment. Reference to the evidence-base will be useful…]
    7. Study, measures and evaluation for the proposed quality improvement/change intervention
    [Approach chosen for critically analysing and assessing the impact of the quality improvement/change intervention, including your approach to ensure the outcomes will be due to the intervention. This should include the measures chosen for studying the processes and outcomes of the intervention, including the rationale for choosing them, operational definitions, validity and reliability, approach to ongoing assessment and methods to ensure the completeness and accuracy of data collected. Reference to the evidence-base will be useful…]
    8. Ethical considerations
    [Any ethical aspects of implementing and studying the proposed quality improvement/change intervention and how these will be addressed, potentially including formal ethics review and conflicts of interest. Reference to the evidence-base will be useful…]

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