The elements of a successful quality improvement initiative.

 

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 initiative.
o Apply evidence-based and best-practice strategies to address a safety issue or sentinel event pertaining to medication administration. ;
o Create a viable, evidence-based safety improvement plan for safe medication administration.
• Competency 2: Analyze factors that lead to patient safety risks.
o Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.
• Competency 3: Identify organizational interventions to promote patient safety.
o Identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration.
• Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
o 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 assessment pertaining to medication administration safety concerns.
• The readings, case studies, or a personal experience in which a sentinel event occurred surrounding an issue or concern with medication administration.
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 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.
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 pertaining to medication administration in an organization.
• Apply evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration.
• Create a feasible, evidence-based safety improvement plan for safe medication administration.
• Identify organizational resources that could be leveraged to improve your plan for safe medication administration.
• 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 but keep in mind that your Assessment 2 will focus on safe medication administration.
• .
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 pertaining to medication administration.
• Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
• APA formatting: Format references and citations according to current APA style.

 

 

 

 

 

 

 

Sample Solution

Management Applications of Accounting

An accounting application is a software program that captures and records all accounting transactions. It often divides functions into modules such as accounts payable, accounts receivable, inventory, and more. The International Financial Reporting Standards [I.F.R.S], the accounting standard used in more than 144 countries, has some key differences from the United States’ Generally Accepted Accounting Principles [G.A.A.P]. At the conceptual level, I.F.R.S, is considered more of a principled-based accounting standard in contrast to G.A.A.P, which is considered more rules-based. Managerial accounting can be used in short-term and long-term decisions involving the financial health of a company. It helps managers make operational decisions, intended to help increase the company’s operational efficiency, while also helps in making long-term investment decisions.

 

 

Unique

Digital harassing has turned into a significant issue in many work places, particularly in social insurance settings among attendants. This paper will clarify what digital harassing is and talk about a portion of the techniques that workers use while digital tormenting. The impacts digital harassing has on workers can go from pressure and cerebral pains to the outrageous of post-horrendous pressure. The nursing calling is being affected by digital domineering jerk in an assortment of ways, including high pressure workplaces, high turnover rates, restorative mistakes and poor patient consideration. The whole calling of nursing may likewise be losing believability if numerous medical attendants keep on undermining their associates and put patient consideration being referred to. There are a few results talked about, alongside certain strategies to lessen and hinder digital harassing among medical caretakers. Generally, the impacts, outcomes and a few methodologies to maintain a strategic distance from digital tormenting will be talked about top to bottom.

There are numerous minor departure from the meaning of digital tormenting. Ordinarily, digital harassing is named a purposeful, forceful act or acts, over some undefined time frame, to dispense hurt on the injured individual by using different electronic types of articulation. (reference 1) Cyber-tormenting has three primary parts, the plan to exact mischief, dreary assaults over some stretch of time and every now and again includes a lopsidedness of intensity. (reference 1)

Digital tormenting in the working environment can incorporate demonstrations of terrorizing, tattling, inactively or forcefully declining to help a collaborator out of luck, utilizing snide or disparaging tones, retaining basic data, open mortification or ridiculing. (reference 2) Cyber-bulling in the work environment can be promptly clear or can be progressively discrete and less unmistakable, be that as it may, either type can affect an individual’s passionate status, which at that point can impact their work execution and even outcome in medical issues. Digital tormenting can be immediate or aberrant, direct digital harassing is the point at which the injured individual is straightforwardly focused by either barring them from a social gathering, making direct dangers or affronts or notwithstanding utilizing an infection to degenerate their PC or telephone. Aberrant digital tormenting may happen without the unfortunate casualty having direct learning of it, for instance, sharing private or secret data about the individual, with an end goal to make hurt the person in question. Other aberrant strategies for digital harassing incorporate posting humiliating photographs or pictures and spreading bits of gossip or harmful data through an assortment of innovative stages. (reference 1)

There are numerous ways that digital harassing can be done, and with innovation extending at a fast rate, new ways are continually rising. Some electronic techniques that digital domineering jerks use are content informing, email, web based life locales including Facebook, Twitter and Instagram, web journals, talk rooms, texts and notwithstanding posting photographs, recordings or pictures that are planned to scare or undermine a collaborator, accordingly making mischief the individual. Since innovation has extended at such a quick rate, there are various stages that a cyberbully can use to digital domineering jerk a collaborator.

Digital tormenting in the working environment can diminish confidence, bring down the injured individual’s general occupation fulfillment and cause other physical and passionate medical problems. Digital harassing can cause a wide assortment of issues for a person in the work environment. Commonly digital harassing includes a maltreatment of intensity, which thus can make the injured individual feel unprotected and decrease their self-assurance. Diminished sentiments of fearlessness after some time can bring about pressure, uneasiness, cerebral pains, resting issues, touchiness, discouragement and in extraordinary cases, cause posttraumatic stress issue.( ref 2)

Attendants can be affected by digital tormenting in an assortment of ways, both rationally and physically. Attendants can wear out after delayed presentation to pressure, prompting an expansion in therapeutic mistakes and a decrease in occupation fulfillment. Attendants can start to question their clinical abilities and information, which can thusly, increment prescription blunders, increment mistakes with respect to persistent wellbeing, increment patients’ danger of falls and in general, diminish the nature of consideration gave. (ref 2). Other negative effects of digital harassing in nursing is a general decrease in worker assurance, higher paces of truancy, expanded staff turnover rate and a decrease in the capacity to draw in new medical caretakers to the calling. Likewise, when medical caretakers are seen in a negative light, it can make patients lose trust in their degree of consideration, to scrutinize the uprightness of the nursing staff associated with the wrong conduct and even question the notoriety of the association giving the patient consideration. (ref 5)

Research has demonstrated that medical caretakers experience tormenting and provocation running from 27% of the time, to as frequently as 80% of the time (ref 6) Cyber-harassing among attendants can happen starting from the top, from the base up and even along the side (ref 2). Despite the fact that culprits can incorporate patients, doctor and other social insurance laborers, thinks about have demonstrated that the most continuous experts using tormenting strategies are nurture in positions of authority. (ref 6). What’s more, medical caretakers more youthful than thirty years of age and attendants with less long stretches of experience were essentially bound to experience tormenting in their work environment than more seasoned, increasingly experienced partners. (ref 3)

There is no particular government law that applies to digital harassing in the nursing calling. (ref. 7) Since digital harassing has turned out to be such an every now and again utilized and destructive strategy, 49 out of 50 states have embraced some type of received different types of hostile to tormenting laws, bills and arrangements. (ref. 8) In 2013 Florida included a digital tormenting charge that enables schools to force both school and criminal authorizes on menaces, including digital harassing just as incorporating tormenting that occurs off grounds on the off chance that it upsets the learning condition at school. (ref 8)

Albeit numerous states have begun tending to digital tormenting at evaluation school levels, there are as yet numerous upgrades to be made with respect to digital harassing in the work environment. In 2015 the American Nurses Association (ANA) built up another position proclamation in regards to harassing in the working environment. The ANA expresses that it won’t endure any viciousness, social insurance experts must encourage regard for one another, use methodologies to counteract working environment incivility and advance in general security and all human services laborers ought to use procedures to make and keep up a working environment that clings to a culture of regard. (ref 7)

Contingent upon the seriousness and degree of the digital tormenting, outcomes could run from being officially accused of provocation or stalking down to no criminal allegations. Digital harassing is a zone that isn’t completely lawfully tended to because of the wide range that the cyberbullying can cover. (ref 9). Numerous social insurance associations have received a zero resistance strategy and are set up to end nurture that have been demonstrated to be menaces to their colleagues. (ref 3) Nurses fired and considered “harassers” may experience issues discovering future work as a medical caretaker. Common suits can be achieved, be that as it may, these can be costly and frequently incapable.

As an attendant, there are numerous things that I accept can be actualized to prevent digital harassing in the working environment. I accept that all medical caretakers ought to pursue the ANA arrangements with respect to working environment class. All social insurance laborers should address each other with deference and act expertly consistently. I additionally accept that having a solid emotionally supportive network, both at work and at home can help mitigate a portion of the pressure that may create from a digital harassing that may happen. Each medical attendant should reconsider before posting, messaging or messaging whatever may offend someone, double-cross their trust or be an endeavor to undermine them. Quiet wellbeing ought to consistently be a need and medical attendants ought to consent to concentrate on that and put their own disparities in a safe spot. I feel that every single new medical attendant ought to have a tutor nurture that has been prepared on hostile to tormenting methodology and can offer systems and thoughts to new medical attendants, if they experience any digital harassing conduct. Unknown help lines that permit revealing of oppressive medical attendants and offer strong proposals would likewise be useful in diminishing tormenting among attendants. In conclusion, I feel that all wellbeing laborers ought to be required to go to proceeding with instruction courses that emphasis on supporting different attendants and how to abstain from turning into a domineering jerk.

 

 

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