COURSE
NURS-FPX4020: Improving Quality of Care and Patient Safety
FPX4020 – Assessment 2
For this assessment, you will use a supplied template to conduct a root-cause analysis of a quality or safety issue in a health care setting of your choice and outline a plan to address the issue.
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.
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.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
- Competency 1: Analyze the elements of a successful quality improvement
- Apply evidence-based and best-practice strategies to address a safety issue or sentinel event.
- Create a feasible, evidence-based safety improvement
- Competency 2: Analyze factors that lead to patient safety
- Analyze the root cause of a patient safety issue or a specific sentinel event within an organization.
- Competency 3: Identify organizational interventions to promote patient
- Identify existing organizational resources that could be leveraged to improve a
- Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
- Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Professional Context
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.
Scenario
For this assessment, you may choose from the following options as the subject of a root- cause analysis and safety improvement plan:
- The specific safety concern identified in your previous
- The Vila Health: Root-Cause Analysis and Safety Improvement Planning
- One of the case studies from the previous
- A personal practice experience in which a sentinel event
Instructions
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 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.
Use the Root-Cause Analysis and Improvement Plan Template [DOCX] to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.
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.
- Analyze the root cause of a patient safety issue or a specific sentinel event in an
- Apply evidence-based and best-practice strategies to address the safety issue or sentinel event.
- Create a feasible, evidence-based safety improvement
- Identify organizational resources that could be leveraged to improve your
- Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
- Assessment 2 Example [PDF].
Additional Requirements
- Length of submission: Use the provided Root-Cause Analysis and Improvement Plan template to create a 4–6 page root cause analysis and safety improvement plan. A title page is not required but you must include a reference list as per the template.
- Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your findings and Resources should be no more than 5 years old.
- APA formatting: Format references and citations according to current APA
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
ANSWER
Root-Cause Analysis and Safety Improvement Plan
Wrong prescriptions pose a serious threat to the quality of healthcare that patients receive. Since the practice of medicine, there have been a lot of cases, some of which have been fatal, of wrong prescriptions and misprescriptions. This error is common in medical practice. However, in recent times, stakeholders have come up with different ways of dealing with and reducing these errors. The prescription errors have been substantially reduced by the advancing technologies in healthcare (Weant, Bailey & Baker, 2019). The problem of wrong prescriptions, from a wider scope, can be divided into three categories. These are wrong prescription drugs, overdosing, and underdosing. Wrong prescriptions are when doctors prescribe the wrong drugs. Overdosing is when doctors prescribe stronger drugs or more dosages to patients than required, and underdosing is vice versa. Medical practitioners must be keen when prescribing drugs because errors are not only detrimental to the health status of the patient, but they lead to increased costs and expenses for medical facilities, doctors, and nurses (Weant, Bailey & Baker, 2019). In prescriptions, there are three major stakeholders, and these are the doctors, nurses, and the pharmacist who give these drugs to the patients. To be able to reduce prescription errors, these three stakeholders need to closely work together to ensure safety in the administration of medication.……please click the icon below to purchase full answer at $10