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HCA 375 Week 4 Assignment Adverse Event ReportingAshford 5

    HCA 375 Week 4 Assignment: Adverse Event ReportingAshford 5: – Week 4 – AssignmentAdverse Event ReportingReadChapters 5, 6, and 7 in our textbook. After reviewing this week’srequired reading, consider the following scenario: You are the lead ofthe risk management team that has been assigned to evaluate an incidentthat has occurred. You will be preparing a report for the CEO of thehospital that includes all system failures that contributed to theadverse event as well as utilizing a CQI tool. You will be using the Adverse Event template tocomplete the three parts to the assignment. Note: If you have respondedsubstantively to each of the content items within the three parts ofthe 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 errorPatient fallsPost-operative hemorrhageData – 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 20YYJan  12001400 200  240 300 35038 35 1 3  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 1Note: The number of beds and operating rooms increased effective 1/1/20YY.Describe the adverse event, including who was involved in the event.Foryour selected adverse event, graph the data for the two years. Analyzethe 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.Describeat least two operational or safety processes that might not have beenfollowed that contributed or caused this event to take place. Forinstance, describe any regulations or procedures that the professionalorganization and/or accrediting agency measures compliance with thestandard.Graph two years of data for your selected adverseevent and analyze the data by determining if the frequency is increasingor 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:FlowchartFishbone Diagram (Cause & Effect) ParetoUsethe CQI Tool to illustrate the use of the tool with your chosen adverseevent. You will be responsible for creating the CQI Tool, completingthe tool, taking a screenshot, and copying/pasting the screenshot underthe instructions in Part Two CQI Tool in the Adverse Event template.Part Three: Future Prevention (Complete Part Three of the Adverse Event template) Afterdescribing 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 teamwould recommend to the CEO to prevent this adverse event fromreoccurring. Make sure to include who (health care personnel) would beaccountable at each step of the process. Complete the Explanation columnin Part 3 of the Adverse Event template.Itis important to keep in mind that some processes require a checks andbalance system. You will need to determine if one of the steps you arerecommending would require a checks and balance step and why it isnecessary. Paper Requirements: ThePaper must be six to seven pages in length (excluding title andreferences pages) and should demonstrate understanding of the readingassignments, class discussions, your own research, and the applicationof new knowledge. Excluding your textbook and course readings include aminimum of four scholarly, peer-reviewed sources. Two of these sourcesmust be from the Ashford University Library and must have been publishedwithin the past five years. An APA formatted reference page isrequired. Your responses within the document provided must besubstantive, and include complete sentences in paragraph format,including citations per APA format. Refer to the Ashford Writing Center for information on APA guidelines.Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.Attachments: ashford_5.docx

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