Homework: Root-Cause Analysis and Safety Improvement Plan
For this Homework, you will use a supplied template to conduct a root-cause analysis of a quality or safety issue in a health care setting of your choice and outline a plan to address the issue.
As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. The baccalaureate nurse's role as a leader is to create safety improvement plans as well as disseminate vital information to staff nurses and other health care professionals to protect patients and improve outcomes.
As you prepare for this Homework, it would be an excellent choice to complete the Quality and Safety Improvement Plan Knowledge Base activity and to review the various Homework resources, all of which will help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities are not graded and demonstrate course engagement.
Demonstration of Proficiency
By successfully completing this Homework, you will demonstrate your proficiency in the following course competencies and Homework criteria:
1) Competency 1: Analyze the elements of a successful quality improvement initiative.
a. Apply evidence-based and best-practice strategies to address a safety issue or sentinel event.
b. Create a feasible, evidence-based safety improvement plan.
2) Competency 2: Analyze factors that lead to patient safety risks.
a. Analyze the root cause of a patient safety issue or a specific sentinel event within an organization.
3) Competency 3: Identify organizational interventions to promote patient safety.
a. Identify existing organizational resources that could be leveraged to improve a plan.
4) Competency 4: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
a. Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Professional Context
Nursing practice is governed by health care policies and procedures as well as state and national regulations developed to prevent problems. It is critical for nurses to participate in gathering and analyzing data to determine causes of patient safety issues, in solving problems, and in implementing quality improvements.
Scenario
For this Homework, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:
1) The specific safety concern identified in your previous Homework.
2) The Vila Health: Root-Cause Analysis and Safety Improvement Planning simulation.
3) One of the case studies from the previous Homework.
4) A personal practice experience in which a sentinel event occurred.
Instructions
The purpose of this Homework is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.
Use the Root-Cause Analysis and Improvement Plan Template [DOCX] to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
1) Analyze the root cause of a patient safety issue or a specific sentinel event in an organization.
2) Apply evidence-based and best-practice strategies to address the safety issue or sentinel event.
3) Create a feasible, evidence-based safety improvement plan.
4) Identify organizational resources that could be leveraged to improve your plan.
5) Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Format your homework according to the following formatting requirements:
i) The answer should be typed, using Times New Roman font (size 12), double spaced, with one-inch margins on all sides.
ii) The response also includes a cover page containing the title of the homework, the student's name, the course title, and the date. The cover page is not included in the required page length.
iii) Also include a reference page. The Citations and references must follow APA format. The reference page is not included in the required page length.