Doctor Clinical Quality Improvement Note
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Create a clinical quality improvement project outline for [clinical problem].

QI details:
- Clinical problem: [describe the gap in care]
- Setting: [hospital/clinic/ED/SNF]
- Population affected: [patient population]
- Current performance: [baseline metric]
- Target performance: [goal]
- Team: [roles involved]

QUALITY IMPROVEMENT PROJECT

1. PROBLEM STATEMENT
   Current state: [describe problem with data]
   Impact: [patient harm/cost/inefficiency]
   Why it matters: [evidence of importance]
   Root cause hypothesis: [preliminary assessment]

2. AIM STATEMENT (SMART)
   By [date], [specific intervention] will [improve metric]
   from [baseline]% to [target]% among [population]
   in [setting].

3. MEASURES

   OUTCOME MEASURE (did it help patients?)
   - Measure: [clinical outcome]
   - Data source: [EHR/chart review/registry]
   - Frequency: [monthly]

   PROCESS MEASURE (are we doing the steps?)
   - Measure: [process step completion rate]
   - Data source: []
   - Frequency: [weekly]

   BALANCING MEASURE (are we causing harm elsewhere?)
   - Measure: [unintended consequences to watch]
   - Data source: []

4. ROOT CAUSE ANALYSIS
   Fish-bone categories:
   - People: [knowledge/skills/attitudes]
   - Process: [workflow gaps]
   - Equipment: [technology/supplies]
   - Environment: [physical/culture]
   - Management: [policy/oversight]
   - Materials: [information/guidelines]

5. INTERVENTIONS (PDSA CYCLES)

   CYCLE 1 — PLAN
   - What: [small test of change]
   - Who: [pilot group]
   - When: [date range]
   - Prediction: [expected result]

   DO: [implement]
   STUDY: [analyze results]
   ACT: [adopt/adapt/abandon]

6. SUSTAINABILITY PLAN
   - Hardwire into workflow: [how]
   - EHR support: [alerts/order sets]
   - Training: [ongoing]
   - Monitoring: [ongoing metric tracking]

Source: https://promptzyo.com/prompt/doctor-clinical-quality-improvement-note