Quality Monitoring and Accreditation Worksheet Essay Paper

Quality Monitoring and Accreditation Worksheet Essay Paper

Order ID	53563633773
Type	Essay
Writer Level	Masters
Style	APA
Sources/References	4
Perfect Number of Pages to Order	5-10 Pages

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

RUBRIC QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points:  Student failed to submit the final paper. 20 points out of 50:  The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50:  The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately.  Elements of the required response may also be lacking. 40 points out of 50:  The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples.  The answer is complete. 50 points:  The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples.  No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points:  Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points:  Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points:  References to scholarly sources are occasionally given; many statements seem unsubstantiated.  Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points:  Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented.  APA 6th Edition is used with only a few minor errors.  There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points:  Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented.  APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points:  Student failed to submit the final paper. 5 points out of 20:  The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors  10 points out 20:  The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20:  The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points:  The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points:  Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements.  The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.

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