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Root-Cause Analysis and Safety Improvement Plan

Root Cause Analysis and Safety Improvement Plan

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 a 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 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.
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.
– Apply evidence-based and best-practice strategies to address a safety issue or sentinel event pertaining to medication administration. ;
– Create a viable, evidence-based safety improvement plan for safe medication administration.
Competency 2: Analyze factors that lead to patient safety risks.
– 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.
– 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.
– Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
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 [DOCX] template 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.
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

IOM Future of Nursing Report and Nursing Paper   Instructions Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession

Include the following:

PARAGRAPH 1

1. Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

A clear and accurate description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented.

PARAGRAPH 2

2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.

The four key messages that structure the IOM report are clearly outlined. A description of how these transformed nursing practice, nursing education and training, nursing leadership, and nursing workforce development are thoroughly discussed.

PARAGRAPH 3

3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

The role of state-based action coalitions is thoroughly discussed. A detailed and accurate discussion of how they help advance the goals in the IOM report is presented.

PARAGRAPH 4

4. Research the initiatives on which your state’s(TEXAS) action coalition is working. Summarize two initiatives spearheaded by yourstate’s action coalition. Discuss the ways these initiatives advance the nursing

profession.

Two initiatives spearheaded by a state action coalition and how they advance the nursing profession are thoroughly discussed. The discussion demonstrates a clear understanding of the state action committee and the role in advancing the nursing profession.

 

PARAGRAPH 5

 

5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

Barriers to advancement that currently exist in the state are thoroughly explored and how nursing advocates in the state overcome barriers are thoroughly described.

 

DNP Project Leading Change with PICOT Question

PICOT Question: In adult patients with chronic pain in an outpatient practice, does implementation of the Centers for Disease Control and Prevention
Guidelines for Prescribing Opioids for Chronic Pain (CPG-GPO), compared to current practice, impact the rate of opioid prescriiptions written in 10 to 12 weeks?
Please discuss your leadership skills with both intra-professional and inter-professional teams to support changes in nursing, healthcare, at your place of employment.
How have you used those skills as the leader and change agent for your DNP Project? What leadership skills do you need to develop?
Share your plan for professional identity formation/role development to attain these skills.
Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or
barriers you experienced this week. Also, address the following questions for this week.
1. Did your preceptor provide you with timely feedback when you had questions?
2. Did your preceptor review and provide you with feedback (if applicable)?
3. Did your preceptor serve as a professional role model for you this session?
When posting, please first share your PICOT question in question format and then respond to the weekly question. This will help us all to be able to provide quality feedback in these weekly discussions.
. The course outcomes associated with this discussion include:
• CO 2: Demonstrate effective project management strategies (POs 2, 3, 6, 7, 8).
• CO 3: Explore the DNP role and advanced practice issues within collaborative teams across diverse healthcare systems (PO 1).
Please discuss your leadership skills with both intra-professional and inter-professional teams to support changes in nursing, healthcare, and your place of employment. How have you used those skills as the leader and change agent for your DNP project? What leadership skills do you need to develop? Share your plan for professional development to develop these skills.
Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or barriers you experienced this week.
When posting, please first share your PICOT question in question format and then respond to the weekly question. This will help us all to be able to provide quality feedback in these weekly discussions.
Looking forward to our discussion about leadership and what it means to be a change agent. I believe you each have the potential to be outstanding change agents in your regions and healthcare systems!

Nursing-Sensitive Quality Indicator

Preparation

This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

• Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system.
• Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.
• Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:
  • What is your experience with collecting data and entering it into a database?
  • What challenges have you experienced?
  • How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
  • What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?

Instructions

For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics in your audio tutorial script:

Introduction: Nursing-Sensitive Quality Indicator

• What is the NDNQI^®?
• What are nursing-sensitive quality indicators?
• Which particular quality indicator did you select to address in your tutorial?
• Why is this quality indicator important to monitor?
  • Be sure to address the impact of this indicator on quality of care and patient safety.
• Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

Collection and Distribution of Quality Indicator Data

• According to your interview and other resources, how does your organization collect data on this quality indicator?
• How does the organization disseminate aggregate data?
• What role do nurses play in supporting accurate reporting and high-quality results?
  • As an example, consider the importance of accurately entering data regarding nursing interventions.

After completing your script, practice delivering your tutorial several times before recording it.

Additional Requirements

• Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
• Length: 3-4 pages
• References: Cite a minimum of three scholarly and/or authoritative sources.
• APA: Submit, along with the recording, a separate reference page that follows APA style and