Applied Science

Scenario:Most healthcare organizations in the country are implementing quality improvement programs to save lives, enhance customer satisfaction, and reduce the cost of healthcare services. Limited human and material resources often undermine such efforts. Zenith Hospital in a rural community has 200 beds. Postsurgical patients tend to contract infections at the surgical site, requiring extended hospitalization. Mr. Jones—75 years old—was admitted to Zenith Hospital for inguinal hernia repairs. He was also hypertensive, with a compromised immune system. Two days after surgery, he acquired an infection at the surgical site, with elevated temperature, and then he developed septicemia. His condition worsened, and he was moved to isolation in the intensive care unit (ICU). A day after transfer to the ICU, he went into ventricular arrhythmia and was placed on a respirator and cardiac monitoring machine. Intravenous fluids, antibiotics, and antipyretics could not bring the fever down, and blood analysis continued to deteriorate.The hospital infection control unit got involved. The team confirmed that postsurgical infections were on the increase, but the hospital was unable to identify the sources of infection. The surgery unit and surgical team held meetings to understand possible sources of infection. The team leader had earlier reported to management that they needed to hire more surgical nurses, arguing that nurses in the unit were overworked, had to go on leave, and often worked long hours without break.Mr. Jones’ family members were angry and wanted to know the source of his infection, why he was on the respirator in isolation, and why his temperature was not coming down. Unfortunately, his condition continued to deteriorate. His daughter invited the family’s legal representative to find out what was happening to her father and to commence legal proceedings.Then, the healthcare manager received information that two other patients were showing signs of postsurgical infection. The healthcare manager and care providers acknowledged the serious quality issues at Zenith Hospital, particularly in the surgical unit. The healthcare manager wrote to the Chairman of the Hospital Board, seeking approval to implement a quality improvement program. The Board held an emergency meeting and approved the manager’s request. The healthcare manager has invited you to support the organization in this process.Please address the following questions in your response:What are successful approaches for gaining a shared understanding of the problem?How can effective communication be implemented?What is a qualitative approach that helps in identifying the quality problem?What tools can provide insight into understanding the problem?In quality improvement, what does appreciative inquiry help do?What is a benefit of testing solutions before implementation?What is a challenge that is inherent in the application of the plan, do, study, act (PDSA) method?What are the attributes of the outcome measure?What are the attributes of the measurement for improvement?Why is collecting the right data important?What is a component of establishing a culture of quality improvement in healthcare organizations?What knowledge do healthcare managers require to sustain a quality culture?Submitting your assignment in APA format means, at a minimum, you will need the following:Title page: Remember the running head. The title should be in all capitals.Length: 3 pages minimumAbstract: This is a summary of your paper, not an introduction. Begin writing in third person.Body: This begins on the page following the title page and abstract page and must be double-spaced (be careful not to triple- or quadruple-space between paragraphs). The typeface should be 12-pt. Times Roman or 12-pt. Courier in regular black type. Do not use color, bold type, or italics, except as required for APA-level headings and references. The deliverable length of the body of your paper for this assignment is 5 pages. In-body academic citations to support your decisions and analysis are required. A variety of academic sources is encouraged.Reference page: References that align with your in-body academic sources are listed on the final page of your paper. The references must be in APA format using appropriate spacing, hanging indent, italics, and uppercase and lowercase usage as appropriate for the type of resource used. Remember, the Reference page is not a bibliography but a further listing of the abbreviated in-body citations used in the paper. Every referenced item must have a corresponding in-body citation.

Promoting Safety and QualityThroughout your education, patient safety and improving the quality of patient care have been examined. Through numerous readings and media pieces, you have heard about Never Events. These are serious and costly medical errors that are preventable, such as wrong-side surgery, medication errors, and hospital-acquired infections. Each of these types of medical errors is preventable. The consequences of such errors are now financial as well as legal and emotional. The Centers for Medicare & Medicaid Services no longer reimburse for medical errors classified as Never Events.In the article “Managing to Improve Quality(See article under required readings): The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered.Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes.For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care.To prepare for this Assignment:1. Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week’s Resources.2. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes.3. Conduct an Internet search for either a Never Event or a core measure, and select one to address in your post.Respond to the following:1.How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response.2. What is the impact of the nurse’s role in clinical outcomes for the organization?3. Discuss nurse-specific challenges in influencing change in quality improvement.4. How does this influence the ability of the organization to achieve its strategic agenda?Initial Post: At least 450 words response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old). Support your response with references from the professional nursing literature.Grading Rubric1. Analyze how specific standards emanating from CMS and/or TJC have impacted quality of care, patient safety, and clinical care outcomes for a selected core measure or Never Event.2. Determined the impact of the nurse’s role in clinical outcomes for the organization3. Differentiated selected nurse specific challenges in influencing change in quality improvement.4. Considered how these challenges influence the ability of the organization to achieve its strategic agenda

Write a short paper discussing the application of this course to your work environment. Address the questions listed below in your paper:How will you apply the skills acquired from this course to your job?How will this course assist you in your professional or/and academic development?If the skills acquired in this course will not directly apply to your job environment, in what other ways are you hoping to apply them to your personal or academic portfolio?Your research paper should be at least 1 page (Minimum 250 words) , double-spaced, have at least 2 APA references, and typed in an easy-to-read font in MS Word (other word processors are fine to use but save it in MS Word format) . Your cover page should contain the following: Title, Student’s name, University’s name, Course name, Course number, Professor’s name, and Date.APA citation format is required.Submit your assignment on or before the due date.

1. Composition deals with the overall readability and meaning of the project. As noted by Kirk (2016), the topic of composition is divided into project-level and chart-level composition. Select one component of either project composition or chart composition and discuss.2. We have spent the past weeks working on the individual visualization layers and last week we learned how the layers all fit together. This week we will concentrate on creating visualizations (write) and consuming visualizations (read) (Kirk, 2016). We must first learn how to understand the visualization as viewer and at the same time use our skills, knowledge and mindsets to achieve excellence in data visualization design. We will focus on “The Seven Hats of Data Visualization.” Select one of the “Hats” and expand it for your classmates.

1. FOR 9 POINTS – Read through each of the scenarios below (you only have to do 3):· Jimmy is a 12 year old individual with a history of severe self-injurious behavior in the form of head-banging (resulting in bruises, concussions, and lacerations to their skin). You are trying to do a functional analysis for this head banging behavior and want to ensure that the person does not hurt themselves. That staff members are not trained in handling head-banging and have consulted with you in order to assess this behavior and review next steps.· Tiffany is a 34 year old individual diagnosed with Down Syndrome and is living in a community integrated living arrangement (CILA). You have been called to consult on her noncompliance with household tasks (e.g. cleaning after self). The staff is frustrated as she does drop to the floor when she does not want to do something.· Albert is a 14 year old individual diagnosed with minor learning disabilities and is in a mainstream high school classroom. Their IEP states that they are allowed to take 1 break per class for 10 minutes. The teacher reached out to you because the student is taking 20 minute breaks and refuses to do this in any less time.· Answer these questions for each scenario:· What is a potential ethical issue with this scenario?· How would you address the issue to “fix” this and make sure future work is done correctly?· This is the rubric in which you will be graded:·Item NeededBehavior analytic languageAPA style, grammar, & punctuationCompleteness2. FOR 1 POINT – identify one of the ethical codes we discussed in class and then provide an example of directly violating that code.

Verdi, from Otello, Act II (Listening Guide p. 177)Describe the type and style of the work you hear:List three musical characteristics heard in this selection that help define the style. Indicate where in the piece they can best be heard. (3 points)How is the excerpt from Act II of Verdi’s Otello similar to others of the period? Compare it to Mahler’s Symphony No. 2, Fourth movement (Listening Guide p. 193).Name at least three musical characteristics of this period heard in both works that help define the style. (3 points)Comparing the stylistic characteristics of each, how are the two operatic/vocal examples different? (2 points)

For the statistics project you are completing in this course, you will need to select a relevant topic that will allow you to gather both qualitative and quantitative data. You may gather data from a group of your choice using a data collection instrument (survey or data mining) that you design. Using the results of that collection instrument, you will create a data set, analyze the data, and create a professional report showing the results of the data that you collected.For this assignment you will choose a topic and create a data collection instrument. When selecting a topic, remember you need to collect both quantitative and qualitative data. Data collection could be done in the form of a survey via a medium such as Survey Monkey or Facebook or through available workplace content such as sales orders. You will want to collect data from approximately 30 observations. This means you will want to survey at least 30 people or select data from 30 different sales orders.Submit the topic of the study, a rationale (one or two paragraphs) outlining the purpose of the study, and the data collection instrument you created as a Word document. Include relevant survey links if the data is being collected digitally.For this Module/Week 2 assignment, you are to write JUST a Statistics Project Proposal in a Word Docx file. In the Proposal, include 1) the topic of the study, 2) rationale (that is a need or gap in existing literature) of the study, and 3) how you will collect at least three (3) quantitative and least three (3) qualitative data from at least 30 people you will interview or at least 30 individual data from an existing data/database.

Quality Analysis, Part 2For the company and product or service that you selected for the W3 Project, complete the following:Imagining yourself to be viewing the company’s product or service through the eyes of the customer, construct a House of Quality to provide the organization with your perspectives on what the important dimensions of quality are and how well the organization is currently meeting your needs.Develop a SPC checklist for each dimension of the product that you believe would be subject to statistical control.Evaluate the product using the five-step plan that is associated with the Kaizen philosophy.Propose what elements of the production and delivery of the product or service would be subject to benchmarking and how you would identify those organizations to which comparisons could be made in a benchmarking process.Submission Details:Submit your report in a three

compare and contrast use use of natural sweeteners and artificial sweeteners in food processing and preservation

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.