Selection of Best Alternative Solution

Criteria for selecting best possible solutions:

A- Effectiveness of Solution Overall disposition:

B- Probability of success
C- Ease of implementation 10 points and above: GO
D- Reasonable cost Below 10 points: NO GO

Legend:
-Excellent (3) -Fair (2) -Poor (1)

Criteria

Total
TRUE ALTERNATIVE Controllability ADVANTAGES DIS- Decision
CAUSE SOLUTION ADVANTAGES A B C D

Always remind and Patient will fully Not everyone will

explain to the understand the be cooperative.
patient the reason why we
Patient
importance of why Controllable collect comment     12 GO
we are giving them sheets and thus,
refused to
the comment sheet might promote
answer,
to accomplish. cooperation.
forgot to
Always explain to Promotes Not everyone will
answer and
the patient or their cooperation of be cooperative.
left
significant others the
Comment
to return the patient/significa
sheet
comment sheet to
Controllable
nt others.     12 GO
the Nurses’ Station
after
accomplishing it.
 Have those who Provides
refuse to answer monitoring of
despite incidences that Not every patient
explanation of the patient refused will be willing to
nurse to sign in a to accomplish sign
notebook and be the comment
Patient endorsed every Controllable sheet and     11 GO
refused to shift to take note increases
answer, forgot and monitor the awareness of on
to answer and collection of the duty staff
left Comment comment sheets. regarding
sheet completeness of
comment sheets
Make the patient/ Ensures that
relative give back comment sheet
the comment sheet will be given
before getting their Controllable back to the     12 GO
discharge nurses.
clearance
 Legend:
-Excellent (3) -Fair (2) -Poor (1)

Criteria

Total
TRUE ALTERNATIVE Controllability ADVANTAGES DIS- Decision
CAUSE SOLUTION ADVANTAGES A B C D

Let everyone in the

station, including Everyone will be
orderlies and aware of the
midwives; be schedule of
aware of the Controllable submission of     12 GO
schedule of the collected
submission of comment sheets
comment sheets to QMD.
every Friday.
Have Thursday
night duty Nurses
Late
to prepare the
submission
collected comment Everything will
of Comment
sheets (and be prepared in
sheets to
notebook) together the morning so
QMD
with other there will be no
documents to be reason to forget
brought down to the tasks to be
different
Controllable
done.     12 GO
departments in the
morning (ex.
admission&
discharge logbook
and charts of
discharged
patients) ready by
Friday Morning.
 Have someone to Someone will be
be assigned in able to monitor
making sure that and remind
comments sheets everyone on the
Late are submitted to
Controllable
submission of     12 GO
submission of QMD even before the comment
Comment the scheduled sheets to QMD
sheets to QMD deadline.
Having Schedule of Serves as a May be taken for
Daily activities reminder of granted when
posted in the Controllable tasks to be done. everyone’s busy.     12 GO
station’s Bulletin
Board.
 Legend:
-Excellent (3) -Fair (2) -Poor (1)

Criteria

Total
TRUE ALTERNATIVE Controllability ADVANTAGES DIS- Decision
CAUSE SOLUTION ADVANTAGES A B C D
Request We may provide
new/unanswered presentable
comment sheets papers for It may be costly
upon submission of evaluation to and thus, subject
collected comment Uncontrollable our patients for approval by     11 GO
sheets of which may the management.
discharged patients contribute to
to QMD. their willingness
to give feedback
Insufficient Ask replacement of We can easily
supply of borrowed ask for
comment comment sheets replacements of
sheet from borrowing borrowed
floors to maintain
Controllable
comment sheets     12 GO
adequacy of supply once we have
insufficient
supply.
We can have Relationships
Minimize adequate supply between different
borrowing Controllable of comment stations may be     12 GO
sheet for our compromised.
patients.
 GANTT CHART

Activity 2016 In July Aug Sept Oct Nov Dec Jan

charge 2016 2016 2016 2016 2016 2016 2017
1. Information Nurse
Dissemination or
Conducting a meeting
to inform everyone in
6south of the plans
regarding comment
sheet collections and
submissions.
2. Implementation of Nurses,
Solutions Midwives,
Orderlies
3. Evaluation Nurses

4. Standardization Nurses

The table above shows our plan for the implementation. By the half of the month of July, Information dissemination was done. There was also a
meeting conducted by our Head Nurse wherein the plans and solutions that the team agreed upon was discussed to all nurses midwives and
orderlies of our station who were present in the said meeting. Those who were not there were informed during the endorsement at the start of
every shift. The Implementation started as soon as everyone learned of the information for the study. It started as early as the First week of July to
the last week of December. Evaluation of the results was started on the third week of December to see if we were meeting our target for the study.
After that, Standardization of the implemented solutions were started which started this January 2017.
 POTENTIAL PROBLEM ANALYSIS

TRUE CAUSE BEST POTENTIAL MOST LIKELY PREVENTIVE CONTINGENT RESPONSIBLE TARGET
SOLUTION PROBLEM CAUSE ACTION ACTION
Patient Release of -Always check the Strict Nurses on Duty July –December
refused to discharge Incomplete Patient in completeness of Compliance 2016
answer, forgot clearance upon accomplishment Hurry to be comment sheets
to answer and receipt of of the Comment discharged. upon receipt.
left Comment accomplished Sheet -Always explain
sheet comment the reason for
sheets having the
comment sheet.
Late Having Schedule Nurse and other -When -Senior Nurse to -Strict Nurses on Duty July –December
submission of of daily staff might everyone is make sure Compliance 2016
Comment Activities forget or not busy. activities for the and frequent
sheets to QMD posted in the notice the day will be done reminder
Station’s posted activities -Orderly as posted. -Submit
Bulletin board on the board assigned is -Frequent Comment
“pull-out” or is Reminder to Sheets the
assigned to 2 Orderlies to early next
or more submit comment week,
stations. sheets to QMD. preferably on
Mondays.
Insufficient Request new/ Unavailability of New ones are If Unanswered Follow up with Nurses on Duty, July –December
supply of unanswered unanswered already comment sheet is QMD Midwives and 2016
comment comments comment consumed. unavailable, Orderlies.
sheet sheets upon sheets answered ones Strict
submission of can be used as compliance
collected long as they are
comment still presentable
sheets from and well-erased.
discharged Remove old and
patients to worn ones.
QMD.
 PART 5: Implementation of Solution

Data to be collected Data How data will be Who will collect When will the Tool for
Source/Location Collected the data data be Collected Representation
Number of patients/client 6th South Station Actual observation NOD per shift Every 8hours of duty Bar Graph
who refused to answer the or per Shift
comment sheet despite
explanation of purpose
Frequency of times that 6th South Station Actual observation NOD Every Friday Bar Graph
Comment sheets were not
submitted to QMD on
Submission day
Number of times when the 6th South Station Actual Observation NOD Every Shift Bar Graph
station has no stock of Blank
Comment Sheets

Number of patients who refused to answer the

Comment Sheet Month No. of
12 Patients
10 July 0
August 0
8
September 0
6 October 1
4 November 1
2 December 10
Total 12
0
July August September October November December

These Graph and Table show the number of patients who refused to answer the comment sheet despite explanation of its purpose.
December has the highest figure during the 6-month study period and most of the reasons we got was because they we’re in hurry and that
someone’s waiting for them outside to pick them up.
 Comment Sheets Not Submitted on Scheduled
Month Frequency
Time July 0
4 August 0
September 0
3 October 0
November 0
2
December 3x
1 Total 3x

0
July August September October November December

These Graph and Table show the frequency wherein Comment sheets were not submitted to QMD on its schedule of submission,
which was every Friday. The reasons we got during those time were that no one was available to submit the comment sheets due to a busy
shift, nurses going home late to complete unfinished tasks, and orderlies assigned to 2 stations or floors facilitating patient’s procedures as
these are the priority.

Regarding the frequency of unavailability of blank Comment sheets, during the 6 month study period (July-December 2016), there
were no instances when we had no stock of comment sheets.