Read Chapters 5, 6, And 7 In Our Textbook After Reviewing Th

Read Chapters 5 6 And 7 In Our Textbook After Reviewing This Weeks

Read Chapters 5, 6, and 7 in our textbook. After reviewing this week’s required reading, consider the following scenario: You are the lead of the risk management team that has been assigned to evaluate an incident that has occurred. You will be preparing a report for the CEO of the hospital that includes all system failures that contributed to the adverse event as well as utilizing a CQI tool. You will be using the Adverse Event template to complete the three parts to the assignment. Note: If you have responded substantively to each of the content items within the three parts of the assignment, the paper should be between six and seven pages.

Paper For Above instruction

Part One: Description of Adverse Event

Choose an adverse event from the following list: Medication error, Patient falls, Post-operative hemorrhage, Data - Patient Safety Event. Describe the adverse event, including who was involved in the event. For your selected adverse event, graph the data for the two years and analyze the data by determining if the frequency is increasing or decreasing.

Identify factors that could be attributed to the change in data. Discuss the communication techniques/methods utilized to inform the staff of the adverse event. Describe at least two operational or safety processes that might not have been followed that contributed or caused this event to take place. Include descriptions of regulations or procedures that professional organizations and/or accrediting agencies measure compliance with. Graph two years of data for your chosen adverse event and analyze whether the frequency is increasing or decreasing. Discuss potential factors contributing to the change in data over two years.

Summarize the historical and contemporary issues and legal implications related to patient safety in your chosen adverse event. Describe how continuous quality monitoring processes could impact the adverse event you selected.

Part Two: CQI Tool

Choose a CQI Tool that best suits your adverse event from the options provided: Flowchart, Fishbone Diagram (Cause & Effect), Pareto. Use the chosen CQI tool to illustrate its application to your adverse event. You will be responsible for creating the CQI Tool, completing it, taking a screenshot, and pasting the screenshot under the instructions in Part Two of the Adverse Event template.

Part Three: Future Prevention

After describing the event in Part One and utilizing the CQI tool in Part Two, apply the PDCA model (Plan, Do, Check, Act) to summarize the recommended steps to prevent recurrence of the adverse event. Specify which healthcare personnel would be accountable at each step. Complete the Explanation column in Part 3 of the template. Consider whether a checks and balances system is necessary for some steps and justify why.

Paper Requirements

The paper must be six to seven pages in length (excluding title and references pages) and demonstrate understanding of the reading assignments, class discussions, your own research, and application of new knowledge. Include a minimum of four scholarly, peer-reviewed sources—two from the Ashford University Library published within the past five years. Adhere to APA formatting guidelines for citations and references. Responses should be substantive, using complete sentences and paragraph format, with appropriate citations per APA standards.

References

  • American Society for Quality. (2017). Quality tools for improving healthcare. ASQ Quality Press.
  • Benner, P., Tanner, C., & Chesla, C. (2010). From novice to expert: Excellence and power in clinical nursing practice. Springer Publishing Company.
  • Carter, M. (2019). Patient safety and quality improvement: An overview. Journal of Healthcare Quality, 41(1), 14-23. https://doi.org/10.1097/JHQ.0000000000000153
  • Sorra, J. S., & Dyer, N. (2017). Understanding adverse events in healthcare: A comprehensive review. Medical Care Research and Review, 74(2), 219-258. https://doi.org/10.1177/1077558716658440
  • World Health Organization. (2019). Patient Safety: Making health care safer. WHO Press.
  • Carroll, C. (2021). Continuous quality improvement in healthcare: Implementing CQI strategies. Health Services Management Research, 34(2), 81-89.
  • Institute for Healthcare Improvement. (2020). The Model for Improvement. IHI Publications.
  • Pronovost, P., & Dickinson, G. (2017). Strategies for reducing adverse events in hospitals. JAMA Internal Medicine, 177(4), 479-480. https://doi.org/10.1001/jamainternmed.2016.8300
  • Varkey, P., & Varkey, B. (2017). Patient safety initiatives in healthcare. Medical Clinics of North America, 101(5), 999-1015. https://doi.org/10.1016/j.mcna.2017.03.003
  • Wong, S. T., & McCarthy, D. (2018). Implementing CQI in healthcare organizations. Healthcare Management Review, 43(3), 229-236. https://doi.org/10.1097/HMR.0000000000000173

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