Quality Improvement Project Plan Checklist
Systematic quality improvement project planning using evidence-based improvement methodology including PDSA cycles.
- Industry: Healthcare
- Frequency: Per project
- Estimated Time: 60-90 minutes
- Role: Quality/Process Improvement
- Total Items: 29
- Compliance: IHI Model for Improvement, Lean Six Sigma, Joint Commission QAPI
Aim Statement
Project goals
- Aim statement documented?
- Measurable goal defined?
- Timeline specified?
- Population defined?
Measures
Project measures
- Outcome measure defined?
- Process measures defined?
- Balancing measures identified?
- Data collection plan established?
Changes to Test
Improvement ideas
- Changes to test identified?
- Changes evidence-based?
- Stakeholder input obtained?
PDSA Cycle Plan
Test cycle
- Plan phase documented?
- Do steps outlined?
- Study/analysis plan defined?
- Act criteria established?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Related Healthcare Checklists
- Clinical Documentation Improvement Checklist
- Nursing Competency Verification Checklist
- Nursing Peer Review Checklist
- Medical Device Incident Report Checklist
- Medical Staff Credentialing Verification Checklist
- Physical Therapy Initial Evaluation Checklist
- Occupational Therapy Initial Evaluation Checklist
- Speech-Language Pathology Evaluation Checklist
Related Quality Assurance Checklists
- Nursing Peer Review Checklist - FREE Download
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- Hospital-Acquired Condition Prevention Checklist - FREE Download
- Sentinel Event Investigation Checklist - FREE Download
- Hospital Safety Daily Leadership Rounds Checklist - FREE Download
- Nursing Sensitive Quality Indicator Data Collection Checklist - FREE Download
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Why Use This Quality Improvement Project Plan Checklist?
This quality improvement project plan checklist helps healthcare teams maintain compliance and operational excellence. Designed for quality/process improvement professionals, this checklist covers 29 critical inspection points across 7 sections. Recommended frequency: per project.
Ensures compliance with IHI Model for Improvement, Lean Six Sigma, Joint Commission QAPI. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Quality Improvement Project Plan Checklist cover?
This checklist covers 29 inspection items across 7 sections: Aim Statement, Measures, Changes to Test, PDSA Cycle Plan, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per project. Each completion takes approximately 60-90 minutes.
Who should use this Quality Improvement Project Plan Checklist?
This checklist is designed for Quality/Process Improvement professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.