Clinical Requirement:
see attached
Usetheresourceslinkedbelowtohelpcompletethisassessment.docx
Use the resources linked below to help complete this assessment.
Collapse All
Breakthrough Technologies and Analytics
These resources delve not only into the promise of predictive analytics, algorithms, machine learning, and other technologies, but also the ethical and practical questions they raise. This will be important for how you approach hazards and adverse events in Assessment 1.
·
Assessment 1: Breakthrough Technologies and Analytics
reading list.
Interventions and Models to Improve Communication
These resources provide you with detailed examples of models to improve communication and create effective interventions. They also illustrate how quality and research can be integrated. You'll see illustrations of the nature of shared decision making. This will be important to you as you analyze adverse events and near misses to understand their sources.
·
Assessment 1: Interventions and Models to Improve Communication
reading list.
Accountability
These resources explore different aspects of what it takes to build a culture of accountability. They also explore the importance of that to quality care.
·
Assessment 1: Accountability
reading list.
Asses1.docx
Prepare an analysis (5-7 pages) of an adverse event or a near miss from your professional nursing experience and outline a QI initiative that would address it.
My Adverse Event - In the hospital setting previously worked at, a nurse administered the wrong dosage of medication to a patient due to a misinterpretation of the physician's handwritten prescription. The error was caught shortly after administration, and the patient does not experience any harm. However, this incident highlights the potential risks associated with manual transcription of medication orders.
Collapse All
Introduction
Health care organizations strive to create a culture of safety. Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. Many errors are attributable to ineffective interprofessional communication.
Overview
The goal of this assessment is to allow you to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a QI initiative to prevent future incidents. It will give you the chance to develop your analytical skills in the problem-solving contexts you likely find yourself in as a health care professional.
Health care organizations strive for a culture of safety. Yet, despite technological advances, quality care initiatives, oversight, ongoing education and training, laws, legislation, and regulations, medical errors continue to occur. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation.
Historically, medical errors were reported and analyzed in hindsight. Today, QI initiatives attempt to be proactive, which contributes to the amount of attention paid to adverse events and near misses. Backed up by new technologies and reporting metrics, adverse events and near misses can provide insight into potential ways to improve care delivery and ensure patient safety.
For clarification, the National Quality Forum (n.d.) defines the following:
· Adverse event: An event that results in unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient.
· Near miss: An event or a situation that did not produce patient harm, but only because of intervening factors, such as patient health or timely intervention.
Instructions
Prepare a comprehensive analysis of an adverse event or a near miss from your professional nursing experience that you or a peer experienced. Provide an analysis of the impact of the same type of adverse event or near miss in other facilities. How was it managed, who was involved, and how was it resolved? Be sure to:
· Analyze the implications of the adverse event or near miss for all stakeholders.
· Analyze the sequence of events, missed steps, or protocol deviations related to the adverse event or near miss using a root cause analysis.
· Evaluate QI actions or technologies related to the event that are required to reduce risk and increase patient safety.
· Evaluate how other institutions integrated solutions to prevent these types of events.
· Incorporate relevant metrics of the adverse event or near miss to support need for improvement.
· Outline a QI initiative to prevent a future adverse event or near miss.
· Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Be sure your analysis addresses all of the above points. You may also want to read the Adverse Event or Near Miss Analysis Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the
Guiding Questions: Adverse Event or Near Miss Analysis [DOCX]
document for additional clarification about things to consider when creating your assessment.
Additional Requirements
Your assessment should also meet the following requirements:
·
Length of submission: A minimum of five but no more than seven double-spaced, typed pages, not including the title page or References section.
·
Number of references: Cite a minimum of three sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work. Review the
Nursing Master's Program (MSN) Library Guide
for guidance.
·
APA formatting: Resources and citations are formatted according to current APA style. Review the
Evidence and APA
section of the Writing Center for guidance.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
· Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.
· Analyze the implications of an adverse event or a near miss for all stakeholders.
· Analyze the sequence of events, missed steps, or protocol deviations related to an adverse event or a near miss using a root cause analysis.
· Outline a quality improvement initiative to prevent a future adverse event or near miss based on research and evidence-based practices.
· Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
· Evaluate and identify quality improvement actions or technologies related to an event that are required to reduce risk and increase patient safety.
· Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
· Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Reference
National Quality Forum. (n.d.).
NQF patient safety terms and definitions. http://www.qualityforum.org/Topics/Safety_Definitions.aspx
Unlock Full Solution
100% RN Verified & Plagiarism Free
APA 7th Format
RN Peer Reviewed
HIPAA Secure
Why order your Nursing paper here?
-
Clinical Accuracy
Written by experts who understand nursing care models.
-
Save 40+ Hours
Focus on your clinicals while we handle the research.
-
Perfect APA Citation
Never lose marks for formatting or in-text citations.
-
BSN/MSN/DNP Proof
High-level academic language suitable for your degree.