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

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.

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.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

  Past Experience I work on a peds Oncology hematology floor. Describe your

  Past Experience I work on a peds Oncology hematology floor. Describe your experience in the utilization of nursing research in your clinical practice.   Submission Instructions: · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership Essay Overview: This assignment invites you to explore the evolution of clinical decision-making as you transition from bedside nursing to advanced practice roles. In your essay, you will critically analyze and compare the

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Case  Cases D.H. is a nurse administrator at a large primary practice. His duties include maintaining the nurses’ schedules to keep within the facility’s budget; overseeing the hiring and training of

  Therapeutic Relationship Case

  Therapeutic Relationship Case  Cases J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques. Many of his clients have altered