NURS FPX4020 CU College Root Cause Analysis & Safety Improvement Plan Paper
NURS FPX4020 CU College Root Cause Analysis & Safety Improvement Plan Paper NURS FPX4020 CU College Root Cause Analysis & Safety Improvement Plan Paper A 3-5 page paper that examines a safety quality issue pertaining to medication administration More details are in the attached documents doc3_2.1.docx doc_3.2.docx root_cause_analysis_template.docx doc_3.3.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Root-Cause Analysis and Safety Improvement Plan YOUR NAME NURS-FPX4020 Capella University Month, Year 1 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Root-Cause Analysis Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings. Analysis of the Root Cause Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as: What happened? Who detected the problem/event? Who did the problem/event affect? How did it affect them? Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as: What was supposed to occur? o Were there any steps that were not taken or did not happen as intended? What environmental factors (controllable and uncontrollable) had an influence? What equipment or resource factors had an influence? What human errors or factors may have contributed? Which communication factors may have contributed? 2 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event. Application of Evidence-Based Strategies Identity best practices strategies to address the safety issue or sentinel event. Describe what the literature states about the factors that lead to the safety issue. o For example, interruptions during medication administration increase the risk of medication errors by specifically stated data. o Explain how the strategies could be addressed in safety issues or sentinel events. Improvement Plan with Evidence-Based and Best-Practice Strategies Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain: Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes. o Support these recommendations with references from the literature or professional best practices. A description of the goals or desired outcomes of these actions. A rough timeline of development and implementation for the plan. Existing Organizational Resources Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan. o A brief note on resources that may need to be obtained for the success of the plan. 3 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN o Consider what existing resources may be leveraged to enhance the improvement plan? 4 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN o Conclusion References 5 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.NURS FPX4020 CU College Root Cause Analysis & Safety Improvement Plan Paper The baccalaureate nurses 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. NURS FPX4020 CU College Root Cause Analysis & Safety Improvement Plan Paper 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. 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 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. Criteria Nonperformance Basic Proficient Does not identify the root cause of a patient safety Analyze the root cause of a issue or a patient safety issue or a specific specific sentinel event pertaining to sentinel event medication administration in an pertaining to organization. medication administration in an organization. Identifies the Analyzes the root cause of a root cause of a patient safety patient safety issue or a issue or a specific specific sentinel event sentinel event pertaining to pertaining to medication medication administration administration in an in an organization. organization. Does not Apply evidence-based and best- describe practice strategies to address the evidencesafety issue or sentinel event based and pertaining to medication best-practice administration. strategies pertaining to Describes Applies evidenceevidencebased and based and best-practice best-practice strategies but strategies to their relevance address the to the safety safety issue or issue or sentinel event Distinguished Analyzes the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization, noting the degree to which various elements contributed to the safety issue or sentinel event pertaining to medication administration. Applies evidencebased and best-practice strategies to address the safety issue or sentinel event NonBasic Proficient Distinguished performance medication sentinel event pertaining to pertaining to administration. pertaining to medication medication medication administration. administration, administration detailing how is unclear. the strategies will address the safety issue or sentinel event pertaining to medication administration. Creates a viable, evidenceCreates a based safety safety Does not Creates a improvement improvement create a viable, viable, plan for safe plan for safe evidenceevidencemedication Create a viable, evidence-based medication based safety based safety administration safety improvement plan for safe administration improvement improvement that makes medication administration. that lacks plan for safe plan for safe explicit appropriate, medication medication reference to convincing administration. administration. scholarly or evidence of its professional viability. resources to support the plan. Identifies Does not Identifies existing Identifies identify existing organizational existing existing organizational resources that organizational organizational resources, but could be resources that Identify existing organizational resources that their relevance leveraged to could be resources that could be leveraged could be and usefulness improve a leveraged to to improve a safety improvement leveraged to to quality and safety improve a plan for safe medication improve a safety improvement safety administration. safety improvement plan for safe improvement improvement for safe medication plan for safe plan for safe medication administration, medication medication administration prioritizing administration. administration. are unclear. them according to Criteria Criteria Nonperformance Does not communicate safety improvement Communicate safety plan using improvement plan using writing writing that is that is clear, logical, and clear, logical, professional, with correct and grammar and spelling, using professional, current APA style. with correct grammar and spelling, using current APA style. Basic Proficient Distinguished potential impact. Communicates Communicates Communicates safety safety safety improvement improvement improvement plan using plan using plan using writing that is writing that is writing that is clear, logical, unclear, clear, logical, and illogical, and professional, and/or professional, with correct contains with correct grammar and numerous grammar and spelling, using errors in spelling, using current, errorgrammar or current APA free APA APA style. style. style. Running head:NURS FPX4020 CU College Root Cause Analysis & Safety Improvement Plan Paper ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Root-Cause Analysis and Safety Improvement Plan YOUR NAME NURS-FPX4020 Capella University Month, Year 1 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Root-Cause Analysis Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings. Analysis of the Root Cause Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as: What happened? Who detected the problem/event? Who did the problem/event affect? How did it affect them? Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as: What was supposed to occur? o Were there any steps that were not taken or did not happen as intended? What environmental factors (controllable and uncontrollable) had an influence? What equipment or resource factors had an influence? What human errors or factors may have contributed? Which communication factors may have contributed? 2 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event. Application of Evidence-Based Strategies Identity best practices strategies to address the safety issue or sentinel event. Describe what the literature states about the factors that lead to the safety issue. o For example, interruptions during medication administration increase the risk of medication errors by specifically stated data. o Explain how the strategies could be addressed in safety issues or sentinel events. Improvement Plan with Evidence-Based and Best-Practice Strategies Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain: Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes. o Support these recommendations with references from the literature or professional best practices. A description of the goals or desired outcomes of these actions. A rough timeline of development and implementation for the plan. Existing Organizational Resources Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan. o A brief note on resources that may need to be obtained for the success of the plan. 3 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN o Consider what existing resources may be leveraged to enhance the improvement plan? 4 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN o Conclusion References 5 Assessment 3 Instructions: Improvement Plan In-Service Presentation For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough speakers notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2. As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audiences attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation. The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event.NURS FPX4020 CU College Root Cause Analysis & Safety Improvement Plan Paper Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel Wright, 2018). As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices. You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course. 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. Explain the need and process to improve safety outcomes related to medication administration. Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration. Competency 4: Explain the nurses role in coordinating care to enhance quality and reduce costs. List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses. Explain audiences role in and importance of making the improvement plan focusing on medication administration successful. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communica Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypools honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
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