While you have great information within this paper
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Write a 5–7-page a comprehensive analysis on an adverse event or near miss from your professional nursing experience. Integrate research and data on the event and use as a basis to propose a quality improvement (QI) initiative in your current organization.
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.
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The goal of this assessment is to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a quality improvement initiative to prevent future incidents.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses. ◦Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
•Competency 2: Plan quality improvement initiatives in response to routine data surveillance. ◦Analyze the missed steps or protocol deviations related to an adverse event or near miss.
◦Analyze the implications of the adverse event or near miss for all stakeholders.
◦Outline a quality improvement initiative to prevent a future adverse event or near miss.
•Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures. ◦Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
•Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care. ◦Communicate analysis and proposed initiative in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
◦Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
Adverse Event or Near Miss Analysis Scoring Guide
Criteria
Analyzes the missed steps or protocol deviations related to an adverse event or near miss, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).
Analyzes the implications of the adverse event or near miss for all stakeholders, and identifies assumptions on which the analysis is based.
Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety, and identifies criteria that can be used to evaluate the technologies.
Incorporates relevant metrics of the adverse event or near miss incident to support need for improvement, and evaluates the quality of the data.
Outlines a quality improvement initiative to prevent a future adverse event or near miss, and impartially considers conflicting data and other perspectives.
Communicates analysis and proposed initiative in a professional and effective manner. Content is clear, logical, and persuasive; grammar, punctuation, and spelling are without errors.
Integrates relevant sources to support assertions, correctly formatting citations and references using current APA style. Citations are free from all errors.
Submission 1 critique
Thank you for your submission of this assessment related to the adverse events surrounding the HAPIs. I enjoyed reviewing your work. It is hard to identify specific content that you are intending to address each criterion as the paper is not divided into sections with headings according to the criterion. In addition, I do not see where specific missed steps or protocol deviations for this incidence are discussed. Please review the assignment instructions and section your paper where I can identify the content you intend to speak to each criterion. You have great information here and I look forward to seeing how you match it to the scoring guide. I will delete this attempt if needed. Thank you.
Submission 2 critique
1. While you have great information within this paper, I do not see where my previous feedback has been addressed with focus on the assessment criteria. Again, lost of great information but much of the scoring guide is not addressed.
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