Hca 375 week 4 adverse event reporting

Hca 375 week 4 adverse event reporting

Hca 375 week 4 adverse event reporting

Adverse Event Reporting
Read Chapters 5, 6, and 7 in our textbook. After reviewing this week’s required reading, consider the following scenario: You are the lead of the risk management team that has been assigned to evaluate an incident that has occurred. You will be preparing a report for the CEO of the hospital that includes all system failures that contributed to the adverse event as well as utilizing a CQI tool. You will be using the Adverse Event template to complete the three parts to the assignment. Note: If you have responded substantively to each of the content items within the three parts of the assignment, the paper should be between six and seven pages.
Part One: Description of Adverse Event (Complete Part One of the Adverse Event template)

Choose an adverse event from the following list:

Medication error
Patient falls
Post-operative hemorrhage

Data – Patient Safety Event For XYZ Hospital for 20XX through 20YY

                  
 # of Discharges       
 # of Surgical Cases          
 # of Medication Errors          
 # of Patient Falls          
 # of Post Operative Hemorrhage           

 
 20XX
 20YY
 20XX
 20YY
 20XX
 20YY
 20XX
 20YY
 20XX
 20YY

Jan 
 1200
1400 
200 
 240
 300
 350
38 
35 

 Feb
 1278
 1450
 213
 250
 289
 370
 42
 40
 1
 2

 Mar
 1389
 1540
 250
 300
 300
 385
 37
 45
 3
 2

 Apr
 1199
 1800
 200
 245
 289
 412
 36
 65
 2
 3

 May
 900
 1768
 159
 289
 215
 404
 40
 70
 1
 3

 Jun
 1000
 1690
 173
 285
 215
 398
 46
 65
 1
 2

 Jul
 1200
 1100
 215
 200
 278
 246
 50
 45
 2
 1

 Aug
 1239
 978
 240
 158
 301
 241
 53
 40
 2
 3

 Sep
 1000
 1089
 198
 200
 275
 215
 48
 51
 3
 2

 Oct
 789
 978
 150
 248
 241
 251
 38
 52
 2
 1

 Nov
 980
 1000
 175
 209
 230
 231
 42
 47
 2
 1

 Dec
 700
 980
 145
 215
 200
 235
 25
 43
 3
 1

 

Note: The number of beds and operating rooms increased effective 1/1/20YY.
Describe the adverse event, including who was involved in the event.
For your selected adverse event, graph the data for the two years. Analyze the data by determining if the frequency is increasing or decreasing. What factors could be attributed to the change?
Discuss the communication techniques/methods utilized to inform the staff of the adverse event.
Describe at least two operational or safety processes that might not have been followed that contributed or caused this event to take place. For instance, describe any regulations or procedures that the professional organization and/or accrediting agency measures compliance with the standard.
Graph two years of data for your selected adverse event and analyze the data by determining if the frequency is increasing or decreasing.
What factors could attribute to the change in data over two years?
Summarize the historical and contemporary issues and legal implications related to patient safety in your chosen adverse event.
Describe how processes of continuous quality monitoring could impact the adverse event you chose.

Part Two: CQI Tool (Complete Part Two of the Adverse Event template)Choose a CQI Tool that best suits your chosen Adverse Event from the following list:

Flowchart
Fishbone Diagram (Cause & Effect)
Pareto

Use the CQI Tool to illustrate the use of the tool with your chosen adverse event. You will be responsible for creating the CQI Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot under the instructions in Part Two CQI Tool in theAdverse Event template.
Part Three: Future Prevention (Complete Part Three of the Adverse Event template) After describing the event in Part One and using a CQI tool in Part Two, apply the PDCA model to summarize the process and steps that your team would recommend to the CEO to prevent this adverse event from reoccurring. Make sure to include who (health care personnel) would be accountable at each step of the process. Complete the Explanation column in Part 3 of the Adverse Event template.It is important to keep in mind that some processes require a checks and balance system. You will need to determine if one of the steps you are recommending would require a checks and balance step and why it is necessary. 
Paper Requirements: The Paper must be six to seven pages in length (excluding title and references pages) and should demonstrate understanding of the reading assignments, class discussions, your own research, and the application of new knowledge. Excluding your textbook and course readings include a minimum of four scholarly, peer-reviewed sources. Two of these sources must be from the Ashford University Library and must have been published within the past five years. An APA formatted reference page is required. Your responses within the document provided must be substantive, and include complete sentences in paragraph format, including citations per APA format. Refer to the Ashford Writing Center for information on APA guidelines.


Hca 375 week 4 adverse event reporting

Adverse Event Reporting
Read Chapters 5, 6, and 7 in our textbook. After reviewing this week’s required reading, consider the following scenario: You are the lead of the risk management team that has been assigned to evaluate an incident that has occurred. You will be preparing a report for the CEO of the hospital that includes all system failures that contributed to the adverse event as well as utilizing a CQI tool. You will be using the Adverse Event template to complete the three parts to the assignment. Note: If you have responded substantively to each of the content items within the three parts of the assignment, the paper should be between six and seven pages.
Part One: Description of Adverse Event (Complete Part One of the Adverse Event template)

Choose an adverse event from the following list:

Medication error
Patient falls
Post-operative hemorrhage

Data – Patient Safety Event For XYZ Hospital for 20XX through 20YY

                  
 # of Discharges       
 # of Surgical Cases          
 # of Medication Errors          
 # of Patient Falls          
 # of Post Operative Hemorrhage           

 
 20XX
 20YY
 20XX
 20YY
 20XX
 20YY
 20XX
 20YY
 20XX
 20YY

Jan 
 1200
1400 
200 
 240
 300
 350
38 
35 

 Feb
 1278
 1450
 213
 250
 289
 370
 42
 40
 1
 2

 Mar
 1389
 1540
 250
 300
 300
 385
 37
 45
 3
 2

 Apr
 1199
 1800
 200
 245
 289
 412
 36
 65
 2
 3

 May
 900
 1768
 159
 289
 215
 404
 40
 70
 1
 3

 Jun
 1000
 1690
 173
 285
 215
 398
 46
 65
 1
 2

 Jul
 1200
 1100
 215
 200
 278
 246
 50
 45
 2
 1

 Aug
 1239
 978
 240
 158
 301
 241
 53
 40
 2
 3

 Sep
 1000
 1089
 198
 200
 275
 215
 48
 51
 3
 2

 Oct
 789
 978
 150
 248
 241
 251
 38
 52
 2
 1

 Nov
 980
 1000
 175
 209
 230
 231
 42
 47
 2
 1

 Dec
 700
 980
 145
 215
 200
 235
 25
 43
 3
 1

 

Note: The number of beds and operating rooms increased effective 1/1/20YY.
Describe the adverse event, including who was involved in the event.
For your selected adverse event, graph the data for the two years. Analyze the data by determining if the frequency is increasing or decreasing. What factors could be attributed to the change?
Discuss the communication techniques/methods utilized to inform the staff of the adverse event.
Describe at least two operational or safety processes that might not have been followed that contributed or caused this event to take place. For instance, describe any regulations or procedures that the professional organization and/or accrediting agency measures compliance with the standard.
Graph two years of data for your selected adverse event and analyze the data by determining if the frequency is increasing or decreasing.
What factors could attribute to the change in data over two years?
Summarize the historical and contemporary issues and legal implications related to patient safety in your chosen adverse event.
Describe how processes of continuous quality monitoring could impact the adverse event you chose.

Part Two: CQI Tool (Complete Part Two of the Adverse Event template)Choose a CQI Tool that best suits your chosen Adverse Event from the following list:

Flowchart
Fishbone Diagram (Cause & Effect)
Pareto

Use the CQI Tool to illustrate the use of the tool with your chosen adverse event. You will be responsible for creating the CQI Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot under the instructions in Part Two CQI Tool in theAdverse Event template.
Part Three: Future Prevention (Complete Part Three of the Adverse Event template) After describing the event in Part One and using a CQI tool in Part Two, apply the PDCA model to summarize the process and steps that your team would recommend to the CEO to prevent this adverse event from reoccurring. Make sure to include who (health care personnel) would be accountable at each step of the process. Complete the Explanation column in Part 3 of the Adverse Event template.It is important to keep in mind that some processes require a checks and balance system. You will need to determine if one of the steps you are recommending would require a checks and balance step and why it is necessary. 
Paper Requirements: The Paper must be six to seven pages in length (excluding title and references pages) and should demonstrate understanding of the reading assignments, class discussions, your own research, and the application of new knowledge. Excluding your textbook and course readings include a minimum of four scholarly, peer-reviewed sources. Two of these sources must be from the Ashford University Library and must have been published within the past five years. An APA formatted reference page is required. Your responses within the document provided must be substantive, and include complete sentences in paragraph format, including citations per APA format. Refer to the Ashford Writing Center for information on APA guidelines.