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What is the status of patient quality at your organization? What are goals you would identify to recommend improvements and in what timeframe would you recommend them?

My topic of patient quality at my organization is FALLS. use Memorial Sloan Kettering Cancer Center in New York NY.
Assignment description (please see attached rubric as well):
What is the status of patient quality at your organization? What are goals you would identify to recommend improvements and in what timeframe would you recommend them?

References that can be used:
LINK IN RUBRIC ((MUST USE THIS ONE))

TEXTBOOK LINK (chapters 14-16) :https://web-a-ebscohost-com.ezproxy.snhu.edu/ehost/detail/detail?vid=0&sid=94f8d318-41f1-4402-83ce-d907228f88f3%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=2144507&db=nlebk

https://scholarspace.manoa.hawaii.edu/handle/10125/41260

https://scholarspace.manoa.hawaii.edu/handle/10125/41586

https://www.sciencedirect.com/science/article/pii/S0897189716302634?via%3Dihub

https://eds-b-ebscohost-com.ezproxy.snhu.edu/eds/detail/detail?vid=0&sid=360b6e81-0e51-4c94-b043-8ef5a23e6992%40pdc-v-sessmgr01&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=121734023&db=ccm