first

6/21/23, 11:26 PM Quality and Safety Gap Analysis Scoring Guide

https://courserooma.capella.edu/bbcswebdav/institution/NURS-FPX/NURS-FPX6212/221000/Scoring_Guides/a01_scoring_guide.html 1/2

Quality and Safety Gap Analysis Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED

Identify a systemic problem in an organization related to adverse quality and safety outcomes.

Does not identify a systemic problem in an organization related to adverse quality and safety outcomes.

Attempts to identify a systemic problem, but fails to explain how the problem contributes to adverse quality or safety outcomes.

Identifies a systemic problem in an organization related to adverse quality and safety outcomes.

Identifies a systemic problem in an organization related to adverse quality and safety outcomes, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty.

Propose specific practice changes within an organization that will improve quality and safety outcomes and bridge the gap between current and desired performance.

Does not propose specific practice changes within an organization that will improve quality and safety outcomes and bridge the gap between current and desired performance.

Proposes specific practice changes, but fails to explain how the proposed changes will result in better outcomes.

Proposes specific practice changes within an organization that will improve quality and safety outcomes and bridge the gap between current and desired performance.

Proposes specific practice changes within an organization that will improve quality and safety outcomes and bridge the gap between current and desired performance, and identifies assumptions on which the proposal is based.

Prioritize proposed practice changes.

Does not prioritize proposed practice changes.

Sets priorities for proposed practice changes that do not adequately reflect their relative importance.

Prioritizes proposed practice changes.

Prioritizes proposed practice changes, and provides sound rationale for the prioritization.

Determine how proposed practice changes will foster a culture of quality and safety.

Does not determine how proposed practice changes will foster a culture of quality and safety.

Attempts to determine how proposed practice changes foster a culture of quality and safety, but fails to explain why proposed changes will positively affect attitudes or behaviors.

Determines how proposed practice changes will foster a culture of quality and safety.

Determines how proposed practice changes foster a culture of quality and safety, and proposes criteria that could be used to evaluate that culture.

Determine how a particular organizational culture or hierarchy might affect or contribute to adverse quality and safety outcomes.

Does not determine how a particular organizational culture or hierarchy might affect or contribute to adverse quality and safety outcomes.

Describes the organizational culture or hierarchy, but fails to explain how its characteristics might affect or contribute to adverse quality and safety outcomes.

Determines how a particular organizational culture or hierarchy might affect or contribute to adverse quality and safety outcomes.

Determines how a particular organizational culture or hierarchy might affect or contribute to adverse quality and safety outcomes, and identifies assumptions on which that analysis is based.

Justify necessary changes to particular organizational functions, processes, and behaviors that correct or mitigate adverse quality and safety outcomes.

Does not justify necessary changes to particular organizational functions, processes, and behaviors that correct or mitigate adverse quality and safety outcomes.

Describes proposed changes to particular organizational functions, processes, and behaviors, but does not explain how each change might correct or mitigate adverse quality and safety outcomes.

Justifies necessary changes to particular organizational functions, processes, and behaviors that correct or mitigate adverse quality and safety outcomes.

Justifies necessary changes to particular organizational functions, processes, and behaviors that correct or mitigate adverse quality and safety outcomes, and identifies knowledge gaps, unknowns, missing information,

6/21/23, 11:26 PM Quality and Safety Gap Analysis Scoring Guide

https://courserooma.capella.edu/bbcswebdav/institution/NURS-FPX/NURS-FPX6212/221000/Scoring_Guides/a01_scoring_guide.html 2/2

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED unanswered questions, or areas of uncertainty.

Communicate analysis data and information clearly and accurately, using correct grammar and mechanics.

Does not communicate analysis data and information clearly and accurately, using correct grammar and mechanics.

Communication is not consistently clear and accurate, or errors in grammar or mechanics inhibit effective communication.

Communicates analysis data and information clearly and accurately, using correct grammar and mechanics.

Communicates analyses and information clearly and accurately. Grammar and mechanics are error- free.

Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Does not integrate relevant and credible sources of evidence to support assertions; does not correctly format citations and references using APA style.

Sources lack relevance or credibility, are poorly integrated, or are incorrectly formatted.

Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Integrates relevant, credible, and convincing sources of evidence to support assertions. Sources are current, and citations and references are error-free.