Address A Patient Safety Issue

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Write a 5-7 page recommendation to senior leadership about steps the organization needs to take to resolve a patient safety issue that occurred. Include an explanation of why it is important to address the issue and the role the patient safety officer will play in helping to resolve the issue.

Alarming numbers of unnecessary patient deaths occur in U.S. hospitals and around the world. “Quality and patient safety in health care have been on the forefront of the public’s mind since the publication of the Institute of Medicine’s (IOM) seminal report, ‘To Err Is Human,’ in 1999” (Johnson, Haskell, & Barach, 2016, pg. xv). The literature supports revising systems and processes in an effort to narrow the difficult safety and quality gaps. Worldwide, issues of patient safety and patient-centered quality care drive health care reform. Current approaches are not adequate; patients remain at risk for needless harm.

Demonstrating a firm understanding of the various components of patient safety is fundamental to understanding health care quality, risk management, and patient safety overall.

For this first assessment, you will assume the role of a patient safety officer at your local hospital. You will analyze a patient safety issue that occurred and then prepare a five- to seven-page recommendation for senior leaders about why it is important to address the issue, along with your recommendations about how to address it. You will also need to detail the role you as the patient safety officer will play in helping the organization resolve the issue.
Reference
Johnson, J. K., Haskell, H. W., & Barach, P. R. (2016). Case studies in patient safety. Burlington, MA: Jones & Bartlett Learning.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Analyze the quality and performance improvement activities within the health care organization.
Recommend evidence-based best practice tools and techniques to reduce or eliminate patient safety threats.
Competency 3: Analyze the importance of patient safety in health care.
Apply the health care safety imperative to a patient safety issue. Evaluate the risk to patients, employees, and the organization if patient safety threats are not addressed. Analyze regulatory agencies’ role and impact on organizations’ patient safety programs.
Competency 4: Apply leadership strategies to quality improvement in a health care organization.
Analyze the patient safety officer’s role in implementing patient safety plans.
Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
Write a clear, persuasive, organized recommendation plan that is generally free of errors and is reflective of professional communication in the health care field. Provide citations and title and reference pages that conform to APA style and format.
Preparation
To help prepare for successfully completing this assessment:
Select one of the three scenarios from the Vila Health: Patient Safety simulation activity that interests you the most for further analysis in your assessment:
Scenario 1: Patient Identification Error. Scenario 2: Medication Error. Scenario 3: HIPAA/Privacy Violation.
Instructions
For the scenario you selected, write a five- to seven-page recommendation for leadership that describes the safety threat, the importance of addressing the threat, and your recommendations for resolving it. Be sure to include all of these headings in your paper and to address all of the bullets underneath each heading:
Potential threat to patient safety:
Identify the issue you selected from the simulation activity as the potential safety threat. Describe the issue that occurred with sufficient detail so that leadership has a clear understanding of what happened.
Implications of not addressing threat:
Evaluate the risk to the organization if this issue is not addressed. In your evaluation, be sure to address all of the following:
What does the health care safety imperative say about the issue? How does the health care safety imperative apply in this case? Which regulatory agency(ies) have oversight about the issue? What specifically do the regulation(s) state about the issue? For example, you might consider the Joint Commission’s national patient safety goals. What impact do regulatory agencies have on organizations’ patient safety programs? How do health care organizations incorporate regulatory agencies’ guidance when establishing reporting and investigation best practices? If the hospital fails to correct the threat, what are the potential consequences to patients, employees, and to the organization?
Patient safety officer’s role in effective implementation of patient safety plans:
Explain the role patient safety officers assume in implementing patient safety plans in health care organizations. Clarify your responsibility and role as the patient safety officer in this specific instance. Provide one example from the literature to illustrate your points.
Recommendations to reduce patient safety threat:
Describe your five-point plan to reduce or eliminate this patient safety threat.
What best practice tools or techniques does your plan include to reduce or eliminate these types of errors? Consider processes for responding, rounding, detecting, incident reporting, operational considerations, et cetera.
In a health care professional setting, recommendations to leadership would typically not be in APA format. As a result, your paper does not need to conform to APA format and style guidelines. It does, however, need to be clear, persuasive, organized, and well written without spelling, grammar, and/or punctuation errors. In addition, recommendations you write in a professional setting would be single-spaced. For the purpose of this assessment, however, please use double-spacing.

Also, health care is an evidence-based field. Your senior leaders will want to know the sources of your information, so be sure to include at least two peer-reviewed sources. You may use the suggested resources for this assessment. Your citations and references do need to conform to APA guidelines.
Additional Requirements
Length: Your recommendation will be 5–7 double-spaced pages, not including title and reference pages. Font: Times New Roman, 12-point. APA Format: Your title and reference pages need to conform to APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines. Scoring Guide: Please review this assessment’s scoring guide to ensure you understand how your faculty member will evaluate your work.
Regulatory Agencies
Joint Commission. (2018). 2018 national patient safety goals. Retrieved from https://www.jointcommission.org/standards_informat…
Regulatory Oversight
Lindstrom, R. L. (2013). Dialogue between physicians, regulatory oversight agencies critical to patient safety. Ocular Surgery News, 31(17), 3. Wickersham, M. E., & Basey, S. (2016). Is accreditation sufficient? A case study and argument for transparency when government regulatory authority is delegated. Journal of Health and Human Services Administration, 39(2), 245–282.
Print
Tools, Operational Considerations, and Best Practices to Address Safety Threats
Agency for Healthcare Research and Quality. (n.d.). TeamSTEPPS: Team strategies & tools to enhance performance & patient safety. Retrieved from https://www.ahrq.gov/teamstepps/index.html Arabi, Y. M., Al Owais, S. M., Al-Attas, K., Alamry, A., Alzahrani, K., Baig, B., … Taher, S. (2016). Learning from defects using a comprehensive management system for incident reports in critical care. Anaesthesia & Intensive Care, 44(2), 210–220. Howell, A., Burns, E. M., Bouras, G., Donaldson, L. J., Athanasiou, T., & Darzi, A. (2015). Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. PloS ONE, 10(12), 1–15.
Patient Safety Officer
American Society of Health-System Pharmacists. (2014). ASHP statement on the role of the medication safety leader. Best Practices for Hospital & Health-System Pharmacy, pp. 207–210. Pratt, N. (2014). Quality officer takes on patient safety challenges. Biomedical Instrumentation & Technology, 48(4), 277–280. Wyatt, R. (2017). Building safe, highly reliable organizations: CQO shares words of wisdom. Biomedical Instrumentation & Technology, 51(1), 65–69.
Vila Health: Patient Safety
Click Vila Health: Patient Safety to view an interactive media piece. This activity will give you the opportunity to assess your knowledge of the health care regulations that govern patient safety and of a health care leader’s role and responsibility in ensuring patient safety. This information will help prepare you to successfully complete your first assessment, which will require you to prepare a recommendation for leadership about how to address a specific threat to patient safety.Evaluate the effectiveness of various intelligence collection disciplines applicable to the U.S. counter-narcotics mission: nursing assignment help
I don’t understand this Law question and need help to study.

This assignment is a research paper of 8-10 pages including research and analysis designed to test knowledge and assimilation of the course objectives (INTL446 Intelligence and Narcotics). It focuses on the effectiveness of various intelligence collection disciplines applicable to the U.S. counter-narcotics mission. The exclusive use of required texts and readings from this course is preferred, but you can use properly vetted outside resources to supplement your analysis. In this assignment, you will show that you understand and are able to evaluate the coursework.

Address the following question. Be sure to use at least 5 sources to support your argument and use the proper citation format. In reviewing course materials for your paper, be sure to consider the videos as well the readings.

·Evaluate the effectiveness of various intelligence collection disciplines applicable to the U.S. counter-narcotics mission by developing a counter-narcotics strategy against a drug trafficking organization. Choose a DTO (either a specific one such as “the Sinaloa Cartel” or a general one such as “a DTO operating in Colombia”). First, develop a counter-narcotics plan that incorporates the use of each of the intelligence disciplines, being sure to discuss which agencies will participate in the operation for each discipline. Second, look at the plan from the viewpoint of the drug trafficking and delineate how you (as a DTO) will change your methods of operation to avoid the law enforcement efforts.Analysis of paper about sex
Help me study for my Philosophy class. I’m stuck and don’t understand.

An important aspect of philosophical thinking is the ability to do conceptual analysis. Greta Christina‘s paper is a great example of this. Throughout her paper, she proposes a definition of sex, discusses how that definition captures several cases that intuitively count as sex, but then discusses some more complicated cases that either show that the definition is too broad (i.e., it includes or counts some case as an instance of sex when intuitively it should not) or too narrow (i.e., it excludes some case from counting as an instance of sex when we intuitively think it should count).

This paper assignment is divided into two parts.

Part one:

Expand on one of Greta Christina’s several different definitions of sex and explain how that definition is problematic. For example, Christina says, “Perhaps having sex with someone is the conscious, consenting, mutually acknowledged pursuit of shared sexual pleasure.” You might explain this definition (or one of the other ones that she considers) by giving a (fictional) example and showing how it exemplifies each of the features listed in the definition. Then, you should explain why that definition is problematic. For example, you could explain how there are cases that we intuitively count (or don’t count) as sex but aren’t (or are) counted as sex according to the definition (i.e., state whether the definition is too broad or too narrow, or both, and show how).

Part two:

This part has two options. The first is less challenging than the second, but the second, if done well, can score higher points than the first.

Option 1 : Clearly articulate a second definition from Christina that attempts to address some of the problematic aspects of the definition you discussed in part one. Then, as you did in part one, explain how even this second definition could be problematic (Is it too broad? too narrow? both? Show how).

Option 2 : Propose your own definition — a definition of sex that Christina does not consider. Show how that definition might handle some of the complicated cases that she discusses. Then, clearly state what the shortcomings of your proposed definition might be. For example, you should clearly state how the definition could be too broad or too narrow (or both) by presenting relevant counterexamples.

You should take as a clear example of good writing the last two pages of Christina’s essay. Notice how she structures the discussion. She considers a definition. Then she discusses how some cases clearly fit that definition, then some cases that don’t (AGAIN either because the definition is too broad, i.e. it includes cases that do not count as sex, or because the definition is too narrow, i.e. the definition excludes cases that do count as sex).

With that in mind, this paper will be graded according to the following rubric:

(10 points) Part One: Clear presentation of definition from Christina. Persuasively shows why definition is unsatisfactory.

(10 points) Part Two: Clear presentation and discussion of a definition of sex that follows up on the definition in part one (either from Christina or your own). In the case that the presentation is another definition from Christina, make sure that the discussion of it is clear and that any problems with it are clearly stated. In the case that you present your own definition, it is important to demonstrate BOTH an understanding of how the proposed definition captures several complications discussed in the reading AND recognizing potential difficulties with the definition.

(2 points) Overall structure: Is the discussion well-ordered and easy to follow?

(1 point) Grammar and spelling: Are there errors in spelling and/or grammar?

(2 points) Style: Is the writing clear and concise (that’s good), or is it obscure (that’s bad)?

SUBMISSION METHOD:Choose only ONE of the three submission options:1) Submit your paper as an attachment in PDF FORM.2) Submit your paper as an attachment in WORD (doc or docx) FORMAT.3) Submit your paper by copying and pasting it in the INLINE submission.

FORMATTING:

Papers should be 3 pages double spaced, 1″ margins, 12pt font (preferably New Times Roman, but anything that’s easy to read is acceptable). To be clear, formatting is not nearly as important as the content of the paper. If you happen to go over or under by a few lines, don’t fret. Especially DO NOT try to make it appear as if you’ve written more than you have. Again, it’s what you’ve said and how you’ve said it that matters, not how the words on the page appear.

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