: Among staff in primary care practice, how does the use of staff education compared to routine care improve adolescent depression screening rates (O) after three months?

In all three settings, getting leadership approval is a necessary first step in the process of launching a QI project that involves EBP. Approval from the top management is necessary. Each setting is represented by the quality improvement committee or coordinator whose function is to assess and establish if the proposed EBP QI project meets the standards and other requirements. Involving frontline staff, including nurses, physicians, and other healthcare workers, is necessary in the three settings. They cannot be ignored, as they are a source of ideas about how to do better, get things done quickly, and keep track of improvements. Differences Long-term care facilities might be subjected to stricter regulations due to their potential liability and certification standards. Therefore, regulatory agencies such as state health departments or Centers for Medicare & Medicaid Services (CMS) may be involved in the approval of the EBP QI project. In the long-term care facility, the engagement of residents and their families as stakeholders in QI projects is direct. Involving them in the decision-making process ensures that the cause of the projects meets their needs, choices, preferences, and rights, thus promoting patient-centered care. Community health clinics may need involvement and authorization from other members of the community like local health departments, social service companies, or advocacy organizations