At a Unit C QI meeting, a nurse asks for assistance interpreting the run chart on Unit C’s pain reassessment compliance presented in Figure 12.6. The nurse wants to know if the unit improved their pain reassessment compliance over the last month. The nurse also is unsure if high or low results are the goal.

1.

What CUES (Assessment) in Figure 12.6 would you use to provide a brief interpretation of the run chart for this nurse regarding high versus low results, variation over time, and the overall median of the unit’s pain reassessment compliance?

2.

What HYPOTHESIS (Diagnosis) or hypotheses can the nurse consider based on interpretation of the data?

3.

What ACTION (Plan and Implement) will be most effective based on the data analysis?

4.

Would you recommend a QI action based on the run chart OUTCOME (Evaluation)?