\n For this assessment, you can use a supplied template to conduct a root-cause analysis. The completed assessment will be a scholarly paper focusing on\u00a0a quality or safety issue pertaining to medication administration in a health care setting of your choice as well as a safety improvement plan.\n <\/p>\n
\n As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. The baccalaureate nurse’s role as a leader is to create safety improvement plans as well as disseminate vital information to staff nurses and other health care professionals to protect patients and improve outcomes.\n <\/p>\n
\n As you prepare for this assessment, it would be an excellent choice to complete the Quality and Safety Improvement Plan Knowledge Base activity and to review the various assessment resources, all of which will help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities are not graded and demonstrate course engagement.\n <\/p>\n
\n Demonstration of Proficiency\n <\/p>\n
\n By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:\n <\/p>\n
\n Professional Context\n <\/p>\n
\n Nursing practice is governed by health care policies and procedures as well as state and national regulations developed to prevent problems. It is critical for nurses to participate in gathering and analyzing data to determine causes of patient safety issues, in solving problems, and in implementing quality improvements.\n <\/p>\n
\n Scenario\n <\/p>\n
\n For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:\n <\/p>\n
\n Instructions\n <\/p>\n
\n The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern of medication administration safety based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.\n <\/p>\n
\n Use the\u00a0Root-Cause Analysis and Improvement Plan [DOCX]\u00a0template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.\n <\/p>\n
\n Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.\n <\/p>\n
\n Additional Requirements\n <\/p>\n
\n TEMPLATE: ( MAKE APA)\n <\/p>\n
\n Root-Cause Analysis and Safety Improvement Plan\n <\/p>\n
\n Your Name\n <\/p>\n
\n School of Nursing and Health Sciences, Capella University\n <\/p>\n
\n NURS4020: Improving Quality of Care and Patient Safety\n <\/p>\n
\n Instructor Name\n <\/p>\n
\n Month, Year\n <\/p>\n
\n Root-Cause Analysis and Safety Improvement Plan\n <\/p>\n
\n Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide\/the headings.\n <\/p>\n
\n Analysis of the Root Cause\n <\/p>\n
\n Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 What happened?\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Who detected the problem\/event?\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Who did the problem\/event affect?\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 How did it affect them?\n <\/p>\n
\n Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 What was supposed to occur?\n <\/p>\n
\n o\u00a0\u00a0 Were there any steps that were not taken or did not happen as intended?\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 What environmental factors (controllable and uncontrollable) had an influence?\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 What equipment or resource factors had an influence?\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 What human errors or factors may have contributed?\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Which communication factors may have contributed?\n <\/p>\n
\n These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.\n <\/p>\n
\n Application of Evidence-Based Strategies\n <\/p>\n
\n Identity best practices strategies to address the safety issue or sentinel event.\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0 Describe what the literature states about the factors that lead to the safety issue.\n <\/p>\n
\n o\u00a0\u00a0 For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.\n <\/p>\n
\n o\u00a0\u00a0 Explain how the strategies could be addressed in safety issues or sentinel events.\n <\/p>\n
\n Improvement Plan with Evidence-Based and Best-Practice Strategies\n <\/p>\n
\n Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Actions, new processes or policies, and\/or professional development that will be undertaken to address one or more of the root causes.\n <\/p>\n
\n o\u00a0\u00a0 Support these recommendations with references from the literature or professional best practices.\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A description of the goals or desired outcomes of these actions.\n <\/p>\n
\n \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A rough timeline of development and implementation for the plan.\n <\/p>\n
\n Existing Organizational Resources\n <\/p>\n
\n Identify existing organizational personnel and\/or resources that would help improve the implementation or outcomes of the plan.\n <\/p>\n
\n o\u00a0\u00a0 A brief note on resources that may need to be obtained for the success of the plan.\n <\/p>\n
\n o\u00a0\u00a0 Consider what existing resources may be leveraged to enhance the improvement plan?\n <\/p>\n
\n Conclusion\n <\/p>\n
\n References\n <\/p>\n
\n Reference page should be double spaced throughout without extra spaces between entries.\n <\/p>\n
\n Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.\n <\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
For this assessment, you can use a supplied template to conduct a root-cause analysis. The completed assessment will be a scholarly paper focusing on\u00a0a quality or safety issue pertaining to medication administration in a health care setting of your choice as well as a safety improvement plan. As patient safety concerns continue to be addressed […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_joinchat":[]},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/posts\/250323"}],"collection":[{"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/comments?post=250323"}],"version-history":[{"count":1,"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/posts\/250323\/revisions"}],"predecessor-version":[{"id":254050,"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/posts\/250323\/revisions\/254050"}],"wp:attachment":[{"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/media?parent=250323"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/categories?post=250323"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/qualityassignments.net\/wp-json\/wp\/v2\/tags?post=250323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}