Adverse Event Reporting Read Chapters 5-7 In Our Textbook

Adverse Event Reportingread Chapters 5 6 And 7 In Our Textbook Afte

Review Chapters 5, 6, and 7 in our textbook. After reviewing the required reading, consider a specific adverse event, such as medication error, patient falls, or post-operative hemorrhage, that has occurred at the hospital. Prepare a comprehensive report for the CEO that details all system failures contributing to the event and utilizes a CQI (Continuous Quality Improvement) tool. The report will be organized into three parts: a description of the adverse event, application of a CQI tool, and strategies for future prevention.

Paper For Above instruction

Part One: Description of Adverse Event

Begin by selecting an adverse event from the provided list—medication error, patient falls, or post-operative hemorrhage—and describe the incident comprehensively. Include details about who was involved in the event, such as healthcare staff, patients, or family members. Incorporate data on the occurrence of this adverse event within the hospital over two years, utilizing the provided data set, which tracks the number of discharges, surgical cases, medication errors, patient falls, and post-operative hemorrhages from 20XX through 20YY, with an emphasis on the annual data. Create graphs to visually compare the incidence over the two-year period, and analyze whether the frequency of events is increasing, decreasing, or stable.

Identify potential factors influencing any observed trend—such as operational changes, staffing levels, or communication issues. Discuss how the hospital staff communicates about adverse events, including reporting methods, meetings, or alerts. Evaluate whether operational or safety procedures—such as adherence to regulations by professional organizations or accreditation standards—were followed properly. Highlight at least two operational or safety process failures that contributed to the event.

Further, examine the historical and current issues surrounding patient safety related to the chosen adverse event, including legal considerations and implications for the hospital and healthcare providers. Conclude this part with an exploration of how continuous quality monitoring processes could potentially mitigate or prevent similar events in the future.

Part Two: CQI Tool

Select an appropriate CQI tool—flowchart, fishbone diagram (cause & effect), or Pareto chart—that best suits analyzing the selected adverse event. Develop the CQI tool to illustrate causal factors or patterns related to the event. Create the diagram or chart, take a screenshot, and insert the visual into the report under this section. Explicitly explain how the chosen tool helps identify root causes or prioritize issues.

Part Three: Future Prevention

Apply the PDCA (Plan-Do-Check-Act) model to devise a strategy aimed at preventing the same adverse event from recurring. Outline specific steps, each with clear responsibilities assigned to healthcare personnel such as nurses, physicians, safety officers, and management. Describe each step in detail, including necessary checks and balances—especially if a step requires a double-check or verification process to ensure safety and compliance.

Conclude this section with a summary of recommended actions for management and staff, emphasizing accountability and sustainability of safety improvements. Discuss how these initiatives align with institutional policies, national safety standards, and legal obligations to enhance patient safety and quality care.

Paper Requirements

The entire paper should be 6-7 pages long, excluding the title page and references. It must demonstrate critical understanding of the coursework, incorporating insights from textbook chapters, class discussion, and scholarly research. A minimum of four peer-reviewed sources is required, two of which must be current (published within the past five years) and available through the Ashford University Library. Proper APA formatting for citations and references is mandatory.

References

• Author, A. A., & Author, B. B. (Year). Title of the scholarly article. Journal Name, Volume(Issue), pages. https://doi.org/xxxxx
• Author, C. C. (Year). Title of book related to patient safety or CQI. Publisher. DOI or URL
• Author, D. D., & Author, E. E. (Year). Title of recent study on adverse events. Journal Name, Volume(Issue), pages. https://doi.org/xxxxx
• Author, F. F. (Year). Guideline or policy document relevant to safety procedures. Organization/Agency. URL
• Additional peer-reviewed sources from the Ashford Library published within the last five years.

Ensure that your report is written in clear, formal, scholarly language, with logical flow, complete sentences, and proper APA style throughout.