Quality Monitoring and Accreditation Worksheet Essay Paper Solution

Quality Monitoring and Accreditation Worksheet Essay Paper

Table of Contents

Order Number	Y47874HDUEW
Type of Project	Essay/Research Paper
Writer Level	PHD/MASTERS
Writing Style	APA/Harvard/MLA/CHICAGO
Citations	5
Page Count	3-15

Description/Paper Instructions

Quality Monitoring and Accreditation Worksheet Essay Paper

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 prepare a report for the CEO of the hospital that includes all system failures that contributed to the adverse event as well as create a CQI tool (i.e., Pareto, Fishbone, or Flowchart). You are required to download and use the Adverse Event Template document to complete the assignment.

Note: If you have responded substantively to each of the content items within the assignment document and included your graph of the data as well as the CQI tool illustration, the template document should be between eight to 10 pages.

Part 1: Description of Adverse Event (Complete Part 1 of the Adverse Event Template)

Medication error

Patient falls

Post-operative hemorrhage

Completing the template:

Adverse Event

Identify the chosen event.

Create a scenario based on your chosen event.

Discuss the incident and what happened.

Identify the health care professionals involved.

Explain the health care professional’s role in the incident.

Historical Background

Discuss the prevalence of the adverse event including historical information (i.e., how often this type of event occurs, and prevention methods used by the industry).

Legal and Accrediting Agency Requirements

Address legal ramifications and accreditation agency requirements regarding the adverse event.

CQI Team and Communication

Identify the CQI team members. Based on the members you chose:

Explain how their role within the hospital would benefit your team in identifying and analyzing the cause of the adverse event.

Discuss issues that could arise between the team members when attempting to develop an improvement plan.

Describe the steps you would take as the CQI team lead to make sure that everyone is able to communicate their opinions and recommendations.

Describe barriers or conflicts that could occur within your team regarding effective communication.

Operational or Safety Processes

Discuss at least two operational and safety processes that you would recommend to the team to avoid future events from occurring.

Explain the rationale for your recommendations.

Impact of Event

Discuss the impact on the hospital if the events continue to occur.

Discuss the impact to the patients if the events continue to occur.

Note: The number of beds and operating rooms increased from 2017 to 2018.

Part 2: Graph the Data (Complete Part 2 of the Adverse Event Template)Once you choose your adverse event, graph the data from the chart above You will graph Column A and B against the chosen event (i.e., number of medication errors, number of patient falls, or number of post-operative hemorrhages). For example, if you were to choose medication errors, you would enter the details from column A, B, and C. Once your graph is complete, right click over the graph to copy it, then paste it in the space indicated within the template.

Include an analysis of the data within the spaces indicated in the template:

Discuss the frequency of the adverse event as compared to the increase or decrease of patient discharges.

Analyze the data (what is the data telling you?).

Identify the possible factors, in your opinion, that could be attributed to the change.

Part 3: Create the CQI tool (Complete Part 3 of the Adverse Event Template)

Choose one of the CQI Tools listed below that best aligns with your chosen Adverse Event. Each of the tools listed below are hyperlinked to the Institute for Health Care Improvement website, which discusses and illustrates examples of each type of tool.

Fishbone (Cause and Effect) Diagram (Links to an external site.)

Flowchart (Links to an external site.)

Pareto Chart (Links to an external site.)

Next, you will be responsible for creating the CQI Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot into the space indicated within the Adverse Event Template

Part 4: Future Prevention (Complete Part 4 of the Adverse Event Template)

After describing the event in Part 1, using a Graph in Part 2 and CQI tool in Part 3, you will apply the PDSA model in Part 4 to summarize the process and steps that your team would recommend to the CEO to prevent this adverse event from reoccurring.

Respond to the items in Part 4 of the template by including the following:

Plan

Identify the problem that caused the adverse event/

Identify your objective.

Identify the team members that will assist in the development of a plan for improvement.

Describe how you would communicate the plan to the stakeholders.

Discuss the reasons for collecting the data associated with the chosen scenario.

Identify where you will pilot the new plan of action.

Identify who, what, or why for your pilot of the improvement plan. (When you implement any new plan of action in a hospital setting, you will do a pilot of the new plan in a small, targeted area or department. For example, if you chose medication errors, a group of patients will be on the same floor [e.g., medical unit, cardiac unit, etc.]. If you chose patient falls, the patients will have the same diagnosis [e.g., hip replacement, etc.]. If you chose post-operative hemorrhage, the patients will have the same type of surgical procedure [e.g., abdominal surgeries, etc.].)

Do

Develop three possible solutions to the problem.

Select one of the possible solutions to implement in the pilot phase.

Discuss the result of the pilot (create your own scenario).

Explain in detail the methods utilized to communicate the improvement process to the area chosen for the pilot phase.

Study

Summarize the data collected.

Discuss how you would measure whether the pilot solution was effective.

List observations.

Discuss any problems that may have occurred in your scenario.

Discuss any communication issues.

Compare your objective in the Plan phase to that of the actual pilot result.

Discuss what needs to be revised in your improvement plan to meet your objective.

Act

Discuss your revised plan.

Describe how you are going to implement the plan hospital-wide.

Describe how you will continually monitor the improvement plan to ensure sustained success.

Determine if one of the steps you are recommending would require a check and balance step.

Discuss why it is necessary. (It is important to keep in mind that some processes require a system of checks and balances.)

Quality Monitoring and Accreditation Worksheet Essay Paper

Excellent	The essay demonstrates exemplary comprehension of the relevant content by thoroughly as well as correctly discussing the relevant information; identifying as well as explaining all of the 3 fundamental aspects; using correct terminology; describing the reasoning next to key points/claims; as well as substantiating points with several accurate as well as illuminating examples, as necessary or useful. There are no gaps in the necessary answer.
Good	Scholarly sources that are credible are employed to successfully support statements that are, as the most part, clear as well as fairly expressed. With just a few minor inaccuracies, APA 6th Edition is utilized. There are a few small typos in the references and/or citations. There is some reliance on dubious sources.
Satisfactory	Because of certain improper terminology and/or confusing wording, the work is frequently confused and difficult to understand; thoughts may be disjointed, meandering, and/or repetitious. a lack of structure; and/or grammatical, spelling, and punctuation mistakes.
Poor	The essay demonstrates a lack of understanding of the related documents by failing to address or improperly addressing the relevant; failing to identify or incorrectly trying to explain key concepts/ideas; ignoring as well as incorrectly attempting to explain key points/claims as well as the rationale behind them; and/or inaccurately or improperly using terminology.
No Response	Essay displays great writing abilities, such as a clear as well as thought-provoking thesis, suitable and effective organization, vibrant and persuasive supporting materials, good diction as well as sentence skills, and faultless or almost perfect mechanics, such as spelling and grammar. The essay flawlessly achieves the assignment’s objectives.
Quality of Response	Because of its intelligent growth and mature manner, this study merits attention. It provides a compelling analysis of or reaction to the text, expanding on that response using well-chosen examples and arguments. The sixth paper demonstrates that its author can typically use appropriate words, employ advanced phrases successfully, and adhere to written English rules.
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Quality Monitoring and Accreditation Worksheet Essay Paper

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