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    Please see attached Instruction. – 2 years ago **files (6)** – ## assessment4Instruction..pdf – ## template.docx – ## Assessment01EnhancingQualityandSafety.pdf – ## Assessment01EnhancingQualityandSafety.pdf – article.pdf – Exemplar.pdf **## assessment4Instruction..pdf** Improvement Plan Tool Kit For…

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    Please see attached Instruction.

    – 2 years ago

    **files (6)**

    – ## assessment4Instruction..pdf

    – ## template.docx

    – ## Assessment01EnhancingQualityandSafety.pdf

    – ## Assessment01EnhancingQualityandSafety.pdf

    – article.pdf
    – Exemplar.pdf

    **## assessment4Instruction..pdf**

    Improvement Plan Tool Kit
    For this assessment, you will develop a Word document or an online resource
    repository of at least 12 annotated professional or scholarly resources that you consider
    critical for the audience of your safety improvement plan to understand or implement to
    ensure the success of the plan.

    Criterion:
    1. Identifies necessary resources to support the implementation and sustainability

    of a safety improvement initiative focusing on a specific patient safety issue.
    Organizes resources logically for ease of use.

    2. Analyzes usefulness of resources for role group responsible for implementing
    quality and safety improvements with a specific patient safety issue. Provides
    specific examples of utility in the context of a specific health care setting.

    3. Analyzes the value of resources to reduce patient safety risk or improve quality,
    identifying those that may be most valuable for reducing patient safety risk or
    improving quality with a specific patient safety issue.

    4. Uses persuasive, engaging language to present compelling reasons and relevant
    situations for resource tool kit use by its target audience.

    5. Communicates online resource tool kit using a Google Sites in a clear and
    organized structure, and professional manner that applies nearly flawless,
    current APA style and formatting throughout.

    **## template.docx**

    2

    2

    **Root-Cause Analysis and Safety Improvement Plan**

    Your Name

    School of Nursing and Health Sciences, Capella University

    NURS4020: Improving Quality of Care and Patient Safety

    Instructor Name

    Month, Year

    **Root-Cause Analysis and Safety Improvement Plan**

    Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings.

    ## Analysis of the Root Cause

    Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

    · What happened?

    · Who detected the problem/event?

    · Who did the problem/event affect?

    · How did it affect them?

    Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

    · What was supposed to occur?

    · Were there any steps that were not taken or did not happen as intended?

    · What environmental factors (controllable and uncontrollable) had an influence?

    · What equipment or resource factors had an influence?

    · What human errors or factors may have contributed?

    · Which communication factors may have contributed?

    These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.
    **Application of Evidence-Based Strategies**
    Identity best practices strategies to address the safety issue or sentinel event.

    · Describe what the literature states about the factors that lead to the safety issue.

    · For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.

    · Explain how the strategies could be addressed in safety issues or sentinel events.
    **Improvement Plan with Evidence-Based and Best-Practice Strategies**
    Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

    · Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.

    · Support these recommendations with references from the literature or professional best practices.

    · A description of the goals or desired outcomes of these actions.

    · A rough timeline of development and implementation for the plan.
    **Existing Organizational Resources**
    Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

    · A brief note on resources that may need to be obtained for the success of the plan.

    · Consider what existing resources may be leveraged to enhance the improvement plan?

    **Conclusion**

    **References**

    Reference page should be double spaced throughout without extra spaces between entries.

    Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **article.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10147189)

    **Exemplar.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/exemplar-pdf-10148527)

    **Exemplar.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/exemplar-pdf-10148527)

    **## assessment4Instruction..pdf**

    Improvement Plan Tool Kit
    For this assessment, you will develop a Word document or an online resource
    repository of at least 12 annotated professional or scholarly resources that you consider
    critical for the audience of your safety improvement plan to understand or implement to
    ensure the success of the plan.

    Criterion:
    1. Identifies necessary resources to support the implementation and sustainability

    of a safety improvement initiative focusing on a specific patient safety issue.
    Organizes resources logically for ease of use.

    2. Analyzes usefulness of resources for role group responsible for implementing
    quality and safety improvements with a specific patient safety issue. Provides
    specific examples of utility in the context of a specific health care setting.

    3. Analyzes the value of resources to reduce patient safety risk or improve quality,
    identifying those that may be most valuable for reducing patient safety risk or
    improving quality with a specific patient safety issue.

    4. Uses persuasive, engaging language to present compelling reasons and relevant
    situations for resource tool kit use by its target audience.

    5. Communicates online resource tool kit using a Google Sites in a clear and
    organized structure, and professional manner that applies nearly flawless,
    current APA style and formatting throughout.

    **## template.docx**

    2

    2

    **Root-Cause Analysis and Safety Improvement Plan**

    Your Name

    School of Nursing and Health Sciences, Capella University

    NURS4020: Improving Quality of Care and Patient Safety

    Instructor Name

    Month, Year

    **Root-Cause Analysis and Safety Improvement Plan**

    Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings.

    ## Analysis of the Root Cause

    Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

    · What happened?

    · Who detected the problem/event?

    · Who did the problem/event affect?

    · How did it affect them?

    Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

    · What was supposed to occur?

    · Were there any steps that were not taken or did not happen as intended?

    · What environmental factors (controllable and uncontrollable) had an influence?

    · What equipment or resource factors had an influence?

    · What human errors or factors may have contributed?

    · Which communication factors may have contributed?

    These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.
    **Application of Evidence-Based Strategies**
    Identity best practices strategies to address the safety issue or sentinel event.

    · Describe what the literature states about the factors that lead to the safety issue.

    · For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.

    · Explain how the strategies could be addressed in safety issues or sentinel events.
    **Improvement Plan with Evidence-Based and Best-Practice Strategies**
    Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

    · Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.

    · Support these recommendations with references from the literature or professional best practices.

    · A description of the goals or desired outcomes of these actions.

    · A rough timeline of development and implementation for the plan.
    **Existing Organizational Resources**
    Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

    · A brief note on resources that may need to be obtained for the success of the plan.

    · Consider what existing resources may be leveraged to enhance the improvement plan?

    **Conclusion**

    **References**

    Reference page should be double spaced throughout without extra spaces between entries.

    Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **article.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10147189)

    **Exemplar.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/exemplar-pdf-10148527)

    **## assessment4Instruction..pdf**

    Improvement Plan Tool Kit
    For this assessment, you will develop a Word document or an online resource
    repository of at least 12 annotated professional or scholarly resources that you consider
    critical for the audience of your safety improvement plan to understand or implement to
    ensure the success of the plan.

    Criterion:
    1. Identifies necessary resources to support the implementation and sustainability

    of a safety improvement initiative focusing on a specific patient safety issue.
    Organizes resources logically for ease of use.

    2. Analyzes usefulness of resources for role group responsible for implementing
    quality and safety improvements with a specific patient safety issue. Provides
    specific examples of utility in the context of a specific health care setting.

    3. Analyzes the value of resources to reduce patient safety risk or improve quality,
    identifying those that may be most valuable for reducing patient safety risk or
    improving quality with a specific patient safety issue.

    4. Uses persuasive, engaging language to present compelling reasons and relevant
    situations for resource tool kit use by its target audience.

    5. Communicates online resource tool kit using a Google Sites in a clear and
    organized structure, and professional manner that applies nearly flawless,
    current APA style and formatting throughout.

    **## template.docx**

    2

    2

    **Root-Cause Analysis and Safety Improvement Plan**

    Your Name

    School of Nursing and Health Sciences, Capella University

    NURS4020: Improving Quality of Care and Patient Safety

    Instructor Name

    Month, Year

    **Root-Cause Analysis and Safety Improvement Plan**

    Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings.

    ## Analysis of the Root Cause

    Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

    · What happened?

    · Who detected the problem/event?

    · Who did the problem/event affect?

    · How did it affect them?

    Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

    · What was supposed to occur?

    · Were there any steps that were not taken or did not happen as intended?

    · What environmental factors (controllable and uncontrollable) had an influence?

    · What equipment or resource factors had an influence?

    · What human errors or factors may have contributed?

    · Which communication factors may have contributed?

    These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.
    **Application of Evidence-Based Strategies**
    Identity best practices strategies to address the safety issue or sentinel event.

    · Describe what the literature states about the factors that lead to the safety issue.

    · For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.

    · Explain how the strategies could be addressed in safety issues or sentinel events.
    **Improvement Plan with Evidence-Based and Best-Practice Strategies**
    Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

    · Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.

    · Support these recommendations with references from the literature or professional best practices.

    · A description of the goals or desired outcomes of these actions.

    · A rough timeline of development and implementation for the plan.
    **Existing Organizational Resources**
    Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

    · A brief note on resources that may need to be obtained for the success of the plan.

    · Consider what existing resources may be leveraged to enhance the improvement plan?

    **Conclusion**

    **References**

    Reference page should be double spaced throughout without extra spaces between entries.

    Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **article.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10147189)

    **Exemplar.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/exemplar-pdf-10148527)

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    Please see Attached instruction. – 2 years ago **files (2)** – ## assessment3Instruction.pdf – ## Assessment01EnhancingQualityandSafety.pdf **## assessment3Instruction.pdf** Improvement Plan In-Service Presentation For this assessment, you will develop an 8–14 slide PowerPoint presentation with thor…

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    – 2 years ago

    **files (2)**

    – ## assessment3Instruction.pdf

    – ## Assessment01EnhancingQualityandSafety.pdf

    **## assessment3Instruction.pdf**

    Improvement Plan In-Service Presentation
    For this assessment, you will develop an 8–14 slide PowerPoint presentation with
    thorough speaker's notes designed for a hypothetical in-service session related
    to the improvement plan you developed in Assessment 2.

    Criterion
    1. Describe the purpose and goals of an in-service session on a specific

    patient safety issue. Explains the purpose and goals of an in-service session
    on a specific patient safety issue, with purpose and goals that are relevant and
    achievable within the in-service session.

    2. Explains the need and process to improve safety outcomes related to a specific
    patient safety issue, with reference to specific data, evidence, or standards to
    support the explanation.

    3. Explains audience's role and importance of making the improvement plan
    successful, using persuasive and transparent communication to improve buy-in.

    4. Creates resources or activities to encourage skill development and process
    understanding related to a safety improve initiative, explaining their value.

    5. Slides are easy to read and clutter free. Slide background is “visually” pleasing
    with a contrasting color for the text and may utilize graphics. Detailed speaker
    notes are provided.

    6. Organizes content with clear purpose or goals. PowerPoint slides support main
    points, assertions, arguments, conclusions, or recommendations with relevant
    and evidence-based sources (published within 5 years).

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## assessment3Instruction.pdf**

    Improvement Plan In-Service Presentation
    For this assessment, you will develop an 8–14 slide PowerPoint presentation with
    thorough speaker's notes designed for a hypothetical in-service session related
    to the improvement plan you developed in Assessment 2.

    Criterion
    1. Describe the purpose and goals of an in-service session on a specific

    patient safety issue. Explains the purpose and goals of an in-service session
    on a specific patient safety issue, with purpose and goals that are relevant and
    achievable within the in-service session.

    2. Explains the need and process to improve safety outcomes related to a specific
    patient safety issue, with reference to specific data, evidence, or standards to
    support the explanation.

    3. Explains audience's role and importance of making the improvement plan
    successful, using persuasive and transparent communication to improve buy-in.

    4. Creates resources or activities to encourage skill development and process
    understanding related to a safety improve initiative, explaining their value.

    5. Slides are easy to read and clutter free. Slide background is “visually” pleasing
    with a contrasting color for the text and may utilize graphics. Detailed speaker
    notes are provided.

    6. Organizes content with clear purpose or goals. PowerPoint slides support main
    points, assertions, arguments, conclusions, or recommendations with relevant
    and evidence-based sources (published within 5 years).

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## assessment3Instruction.pdf**

    Improvement Plan In-Service Presentation
    For this assessment, you will develop an 8–14 slide PowerPoint presentation with
    thorough speaker's notes designed for a hypothetical in-service session related
    to the improvement plan you developed in Assessment 2.

    Criterion
    1. Describe the purpose and goals of an in-service session on a specific

    patient safety issue. Explains the purpose and goals of an in-service session
    on a specific patient safety issue, with purpose and goals that are relevant and
    achievable within the in-service session.

    2. Explains the need and process to improve safety outcomes related to a specific
    patient safety issue, with reference to specific data, evidence, or standards to
    support the explanation.

    3. Explains audience's role and importance of making the improvement plan
    successful, using persuasive and transparent communication to improve buy-in.

    4. Creates resources or activities to encourage skill development and process
    understanding related to a safety improve initiative, explaining their value.

    5. Slides are easy to read and clutter free. Slide background is “visually” pleasing
    with a contrasting color for the text and may utilize graphics. Detailed speaker
    notes are provided.

    6. Organizes content with clear purpose or goals. PowerPoint slides support main
    points, assertions, arguments, conclusions, or recommendations with relevant
    and evidence-based sources (published within 5 years).

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

  • [Solved] root-cause analysis

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    Please see attached instruction. – 2 years ago **files (5)** – ## assessment2INstruction.pdf – ## template.docx – ## Assessment01EnhancingQualityandSafety.pdf – article.pdf – cf_Exemplar_NURS-FPX4020_Assessment_2.pdf **## assessment2INstruction.pdf** Root-Cause Analysis and Safety Improvement Pl…

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    Assignment Prompt & Instructions

    Please see attached instruction.

    – 2 years ago

    **files (5)**

    – ## assessment2INstruction.pdf

    – ## template.docx

    – ## Assessment01EnhancingQualityandSafety.pdf

    – article.pdf
    – cf_Exemplar_NURS-FPX4020_Assessment_2.pdf

    **## assessment2INstruction.pdf**

    Root-Cause Analysis and Safety Improvement Plan

    For this assessment, you can use a supplied template to conduct a root-cause analysis.
    The completed assessment will be a scholarly paper focusing on a quality or safety
    issue in a health care setting of your choice as well as a safety improvement plan.

    Criterion:
    1. Analyzes the root cause of a specific patient safety issue in an organization,

    noting the degree to which various elements contributed to the safety issue.
    2. Applies evidence-based and best-practice strategies to address the safety issue,

    detailing how the strategies will address the safety issue.
    3. Creates a feasible, evidence-based safety improvement plan to address a

    specific patient safety issue and makes explicit reference to scholarly or
    professional resources to support the plan.

    4. Identifies existing organizational resources that could be leveraged to improve a
    safety improvement plan to address a specific patient safety issue, prioritizing
    them according to potential impact.

    5. Organizes content with a clear purpose. Content flows logically with smooth
    transitions using coherent paragraphs, correct grammar or punctuation, word
    choice, and free of spelling errors.

    6. Apply APA formatting to in-text citations and references exhibiting nearly
    flawless adherence to APA format. Exhibits strict and flawless adherence to
    APA formatting of headings, in-text citations, and references. Quotes and
    paraphrases correctly.

    **## template.docx**

    2

    2

    **Root-Cause Analysis and Safety Improvement Plan**

    Your Name

    School of Nursing and Health Sciences, Capella University

    NURS4020: Improving Quality of Care and Patient Safety

    Instructor Name

    Month, Year

    **Root-Cause Analysis and Safety Improvement Plan**

    Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings.

    ## Analysis of the Root Cause

    Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

    · What happened?

    · Who detected the problem/event?

    · Who did the problem/event affect?

    · How did it affect them?

    Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

    · What was supposed to occur?

    · Were there any steps that were not taken or did not happen as intended?

    · What environmental factors (controllable and uncontrollable) had an influence?

    · What equipment or resource factors had an influence?

    · What human errors or factors may have contributed?

    · Which communication factors may have contributed?

    These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.
    **Application of Evidence-Based Strategies**
    Identity best practices strategies to address the safety issue or sentinel event.

    · Describe what the literature states about the factors that lead to the safety issue.

    · For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.

    · Explain how the strategies could be addressed in safety issues or sentinel events.
    **Improvement Plan with Evidence-Based and Best-Practice Strategies**
    Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

    · Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.

    · Support these recommendations with references from the literature or professional best practices.

    · A description of the goals or desired outcomes of these actions.

    · A rough timeline of development and implementation for the plan.
    **Existing Organizational Resources**
    Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

    · A brief note on resources that may need to be obtained for the success of the plan.

    · Consider what existing resources may be leveraged to enhance the improvement plan?

    **Conclusion**

    **References**

    Reference page should be double spaced throughout without extra spaces between entries.

    Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **article.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10147179)

    **cf_Exemplar_NURS-FPX4020_Assessment_2.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4020-assessment-2-pdf-10148519)

    **cf_Exemplar_NURS-FPX4020_Assessment_2.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4020-assessment-2-pdf-10148519)

    **## assessment2INstruction.pdf**

    Root-Cause Analysis and Safety Improvement Plan

    For this assessment, you can use a supplied template to conduct a root-cause analysis.
    The completed assessment will be a scholarly paper focusing on a quality or safety
    issue in a health care setting of your choice as well as a safety improvement plan.

    Criterion:
    1. Analyzes the root cause of a specific patient safety issue in an organization,

    noting the degree to which various elements contributed to the safety issue.
    2. Applies evidence-based and best-practice strategies to address the safety issue,

    detailing how the strategies will address the safety issue.
    3. Creates a feasible, evidence-based safety improvement plan to address a

    specific patient safety issue and makes explicit reference to scholarly or
    professional resources to support the plan.

    4. Identifies existing organizational resources that could be leveraged to improve a
    safety improvement plan to address a specific patient safety issue, prioritizing
    them according to potential impact.

    5. Organizes content with a clear purpose. Content flows logically with smooth
    transitions using coherent paragraphs, correct grammar or punctuation, word
    choice, and free of spelling errors.

    6. Apply APA formatting to in-text citations and references exhibiting nearly
    flawless adherence to APA format. Exhibits strict and flawless adherence to
    APA formatting of headings, in-text citations, and references. Quotes and
    paraphrases correctly.

    **## template.docx**

    2

    2

    **Root-Cause Analysis and Safety Improvement Plan**

    Your Name

    School of Nursing and Health Sciences, Capella University

    NURS4020: Improving Quality of Care and Patient Safety

    Instructor Name

    Month, Year

    **Root-Cause Analysis and Safety Improvement Plan**

    Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings.

    ## Analysis of the Root Cause

    Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

    · What happened?

    · Who detected the problem/event?

    · Who did the problem/event affect?

    · How did it affect them?

    Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

    · What was supposed to occur?

    · Were there any steps that were not taken or did not happen as intended?

    · What environmental factors (controllable and uncontrollable) had an influence?

    · What equipment or resource factors had an influence?

    · What human errors or factors may have contributed?

    · Which communication factors may have contributed?

    These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.
    **Application of Evidence-Based Strategies**
    Identity best practices strategies to address the safety issue or sentinel event.

    · Describe what the literature states about the factors that lead to the safety issue.

    · For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.

    · Explain how the strategies could be addressed in safety issues or sentinel events.
    **Improvement Plan with Evidence-Based and Best-Practice Strategies**
    Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

    · Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.

    · Support these recommendations with references from the literature or professional best practices.

    · A description of the goals or desired outcomes of these actions.

    · A rough timeline of development and implementation for the plan.
    **Existing Organizational Resources**
    Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

    · A brief note on resources that may need to be obtained for the success of the plan.

    · Consider what existing resources may be leveraged to enhance the improvement plan?

    **Conclusion**

    **References**

    Reference page should be double spaced throughout without extra spaces between entries.

    Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **article.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10147179)

    **cf_Exemplar_NURS-FPX4020_Assessment_2.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4020-assessment-2-pdf-10148519)

    **## assessment2INstruction.pdf**

    Root-Cause Analysis and Safety Improvement Plan

    For this assessment, you can use a supplied template to conduct a root-cause analysis.
    The completed assessment will be a scholarly paper focusing on a quality or safety
    issue in a health care setting of your choice as well as a safety improvement plan.

    Criterion:
    1. Analyzes the root cause of a specific patient safety issue in an organization,

    noting the degree to which various elements contributed to the safety issue.
    2. Applies evidence-based and best-practice strategies to address the safety issue,

    detailing how the strategies will address the safety issue.
    3. Creates a feasible, evidence-based safety improvement plan to address a

    specific patient safety issue and makes explicit reference to scholarly or
    professional resources to support the plan.

    4. Identifies existing organizational resources that could be leveraged to improve a
    safety improvement plan to address a specific patient safety issue, prioritizing
    them according to potential impact.

    5. Organizes content with a clear purpose. Content flows logically with smooth
    transitions using coherent paragraphs, correct grammar or punctuation, word
    choice, and free of spelling errors.

    6. Apply APA formatting to in-text citations and references exhibiting nearly
    flawless adherence to APA format. Exhibits strict and flawless adherence to
    APA formatting of headings, in-text citations, and references. Quotes and
    paraphrases correctly.

    **## template.docx**

    2

    2

    **Root-Cause Analysis and Safety Improvement Plan**

    Your Name

    School of Nursing and Health Sciences, Capella University

    NURS4020: Improving Quality of Care and Patient Safety

    Instructor Name

    Month, Year

    **Root-Cause Analysis and Safety Improvement Plan**

    Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings.

    ## Analysis of the Root Cause

    Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

    · What happened?

    · Who detected the problem/event?

    · Who did the problem/event affect?

    · How did it affect them?

    Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

    · What was supposed to occur?

    · Were there any steps that were not taken or did not happen as intended?

    · What environmental factors (controllable and uncontrollable) had an influence?

    · What equipment or resource factors had an influence?

    · What human errors or factors may have contributed?

    · Which communication factors may have contributed?

    These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.
    **Application of Evidence-Based Strategies**
    Identity best practices strategies to address the safety issue or sentinel event.

    · Describe what the literature states about the factors that lead to the safety issue.

    · For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.

    · Explain how the strategies could be addressed in safety issues or sentinel events.
    **Improvement Plan with Evidence-Based and Best-Practice Strategies**
    Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

    · Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.

    · Support these recommendations with references from the literature or professional best practices.

    · A description of the goals or desired outcomes of these actions.

    · A rough timeline of development and implementation for the plan.
    **Existing Organizational Resources**
    Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

    · A brief note on resources that may need to be obtained for the success of the plan.

    · Consider what existing resources may be leveraged to enhance the improvement plan?

    **Conclusion**

    **References**

    Reference page should be double spaced throughout without extra spaces between entries.

    Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **article.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10147179)

    **cf_Exemplar_NURS-FPX4020_Assessment_2.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4020-assessment-2-pdf-10148519)

  • [Solved] assigment help

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) Contribute to team goals and objectives through active participation and collaboration. For this PowerPoint assignment, select an organization of interest to you. This may be your current or former organizatio…

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    Contribute to team goals and objectives through active participation and collaboration.

    For this PowerPoint assignment, select an organization of interest to you. This may be your current or former organization or perhaps one that is frequently in the news. Chapter 9 of the text (DuBrin, 2023) provides a framework for understanding the leader’s role in team-based organizations and differentiates between actions that can be taken at the organizational level, the leader level, and the individual level. In addition, Chapter 12 provides you with an opportunity to learn about your personal conflict resolution style.

    Checklist:

    – Introduction section: Introduce the reason you are proposing a team approach by identifying the long-term business goal you desire to achieve through teamwork.
    – Actions for the organization level: (see DuBrin text, Table 9-1)
    – Identify which of the seven actions are appropriately established and which need to be revised or developed.
    – Propose recommendations for policy and structure changes to better enable the successful deployment of a team approach.
    – Actions at the leader level: (see DuBrin text, Table 9-1)
    – Using the 12 actions that leaders can take as a model, identify three strengths that seem generally consistent among leaders in the organization and three opportunities for development.
    – Propose recommendations for leader training and development to help the team approach succeed.
    – Actions at the individual level: (see DuBrin text,)
    – Using the Leadership Self-Assessment , determine your personal conflict resolution style and summarize what indicates for team membership and leadership.
    – Using the Leadership Self-Assessment , determine your team player attitudes and propose recommendations for how you will improve your ability to contribute to team goals and objectives through active participation and collaboration.
    – Provides an inspirational call to action to support the recommendation. Provide a conclusion that connects to the goal provided in the introduction.
    – Ensure substantive integration of appropriate, current, and reliable resources — including in-text citations throughout the notes with a corresponding item on the reference list. A minimum of two viable sources are required [no older than 3 years].
    – Presentation quality: Your presentation should be spell and grammar-checked and demonstrate correct mechanics and appropriate writing and presentation style. The use of a professional template, graphics, and Microsoft® SmartArt® are necessary to make it visually appealing. Ensure each slide is streamlined and easily viewed in a large setting.

    **Order of presentation:**

    01. Title slide
    02. Introduction
    03. Organizational Level: Established versus development needed (2-3 total slides)
    04. Organizational Level: Recommendations (2-3 total slides)
    05. Leader Level: 3 strength and 3 development opportunities 2-3 total slides)
    1. Leader Level: Recommendations)
    06. Individual Level: Personal Conflict Resolution Style (2 slides)
    1. Individual Level: Team player attitudes
    07. Call to action (1 slide)
    08. Conclusion (1 slide)
    09. Thank you and Contact information (1 slide)
    10. References (1 slide)

    – 2 years ago

  • [Solved] Social Determinants of Health

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    Complete the following requirements: 1. **Application of Course Knowledge:**Answer all questions/criteria with explanations and detail. 1. Correctly identify your assigned social determinant. Briefly define the determinant and describe how it impacts healthcare outcomes. 2. Select an objective relat…

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    Complete the following requirements:

    1. **Application of Course Knowledge:**Answer all questions/criteria with explanations and detail.

    1. Correctly identify your assigned social determinant. Briefly define the determinant and describe how it impacts healthcare outcomes.
    2. Select an objective related to your assigned social determinant from the Healthy People website linked above. Identify the status of the objective and the population to whom the objective applies.
    3. Provide at least three appropriate questions related to the chosen objective that the NP could incorporate into the health history and interview to assess the client and family.
    4. Identify at least two online, national, or local resources and explain how the resources could help meet the chosen objective for at-risk clients or families.

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  • [Solved] safety quality

    ✓ Verified Academic Solution Available

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    please see attached instruction. – 2 years ago **files (3)** – ## assessment1Instruction.pdf – ## Assessment01EnhancingQualityandSafety.pdf – ## Why_Quality_and_Safety_Educati.pdf **## assessment1Instruction.pdf** For this assessment, you will develop a 3 page paper that examines a safety qualit…

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    please see attached instruction.

    – 2 years ago

    **files (3)**

    – ## assessment1Instruction.pdf

    – ## Assessment01EnhancingQualityandSafety.pdf

    – ## Why_Quality_and_Safety_Educati.pdf

    **## assessment1Instruction.pdf**

    For this assessment, you will develop a 3 page paper that examines a safety quality
    issue in a health care setting. You will analyze the issue and examine potential
    evidence-based and best-practice solutions from the literature as well as the role of
    nurses and other stakeholders in addressing the issue.

    Criterion:
    1. Explains factors leading to a specific patient-safety risk in a health care setting.

    Makes reference to specific data, evidence, or standards to illustrate the safety
    risk.

    2. Explains evidence-based and best practice solutions to improve patient safety
    and reduce costs. Makes explicit reference to scholarly or professional resources
    to support explanation.

    3. Explains how nurses can help coordinate care to increase patient safety and
    reduce costs, providing specific examples related to a patient safety risk.

    4. Identifies stakeholders with whom nurses would need to coordinate to drive
    quality and safety enhancements with a specific safety quality issue, noting the
    relevance and potential importance of the stakeholders.

    5. Organizes content with a clear purpose. Content flows logically with smooth
    transitions using coherent paragraphs, correct grammar or punctuation, word
    choice, and free of spelling errors.

    6. Apply APA formatting to in-text citations and references exhibiting nearly
    flawless adherence to APA format. Exhibits strict and flawless adherence to
    APA formatting of headings, in-text citations, and references. Quotes and
    paraphrases correctly.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## Why_Quality_and_Safety_Educati.pdf**

    199The Journal of Continuing Education in Nursing · Vol 50, No 5, 2019

    The Quality and Safety Education for Nurses
    (QSEN) Collaboration formed in response to the
    call from the Institute of Medicine (now the Na-

    tional Academy of Medicine) to improve the quality and
    safety of health care. That call to action identified five com-
    petencies required by all health care providers to transform
    the health care system, shifting the emphasis to include
    patient-centered care, teamwork and collaboration, use of
    evidence-based practice, quality improvement skills, and
    the integrated use of informatics in the care provided for
    patients (Institute of Medicine, 2003). Shortly afterward
    in 2005, the QSEN collaboration, funded by the Robert
    Wood Johnson Foundation and led by Linda Cronenwett,
    adopted those five requisites, added safety as a sixth com-
    petency, and the newly developed QSEN competencies
    became the blueprint for nurse educators working to re-
    channel the focus of formal nursing education programs
    (Cronenwett et al., 2007). The QSEN competencies pro-
    vided a clear structure designed to change the identity of
    nursing from that of a task-oriented role to one driven by
    the knowledge, skills, and attitudes (KSA) that underpin
    quality and safety concepts.

    What followed was 13 years of transformation as the
    QSEN competencies were integrated into curriculum
    plans and accreditation standards for schools of nursing.
    QSEN provided resources and partnered with national
    nursing organizations to support the implementation of
    the competencies in nursing academia. In 2009, graduate-
    level QSEN competencies that demonstrated enhanced
    leadership KSAs were developed, but through all this, prac-
    tice was slow to embrace the QSEN competencies. Dur-
    ing this same time, practice saw the introduction of the
    Hospital Value-Based Purchasing program implemented
    by the Centers for Medicare & Medicaid Services (2018).
    This program reimbursed hospitals based on quality of
    care rather than quantity, thus driving efforts to improve
    quality and safety within health care systems. The Joint
    Commission Accreditation Standards supported hospitals
    in meeting the regulatory requirements and Magnet® stan-

    dards drove excellence. Through it all, the aims have always
    been congruent between nursing practice and academia,
    but the two have not always shared a common language or
    understanding.

    The work of Lyle-Edrosolo and Waxman (2016) has
    been significant in bridging academia and practice. Us-
    ing crosswalk methodology, they aligned the six QSEN
    competencies, the Magnet® standards, and the Joint Com-
    mission Accreditation Standards. This work demonstrates
    the relationship among these three driving forces and how
    nursing education framed in quality and safety aligns with
    expectations for excellence in nursing practice. Although
    the QSEN competencies were originally designed for nurs-
    ing education, this work validates the QSEN competencies
    as an effective framework to drive excellence and buttress
    the lifelong learning required by nursing professionals to
    ensure that the best care is provided to those who access
    the health care system.

    Nurses are the linchpin in achieving quality and safety
    outcomes, and they are frequently viewed as the last de-
    fense between the patient and potential errors (Sherwood
    & Zomorodi, 2014). In order to champion for safer health
    care for patients and to make an appreciable difference,
    nurses need to be informed and educated about quality
    and safety competencies (Sherwood & Zomorodi, 2014).
    QSEN competencies serve as an appropriate framework
    for education to address common issues confronting nurs-
    ing practice, such as medication errors, pressure injuries,
    and falls.

    Why Quality and Safety Education for
    Nurses (QSEN) Matters in Practice

    guest editorial

    Dr. Altmiller is Professor, Director of Quality and Safety Education
    for Nurses (QSEN) Institute Regional Center at The College of New Jersey,
    Ewing, New Jersey; and Ms. Hopkins-Pepe is Director, Nursing Education
    and Professional Development, Einstein Healthcare Network, Philadelphia,
    Pennsylvania.

    The authors have disclosed no potential conflicts of interest, financial or
    otherwise.

    Address correspondence to Gerry Altmiller, EdD, APRN, ACNS-BC,
    FAAN, Professor, Director of Quality and Safety Education for Nurses
    (QSEN) Institute Regional Center at The College of New Jersey, 2000 Pen-
    nington Road, Ewing, NJ 08628; e-mail: altmillg@tcnj.edu.

    doi:10.3928/00220124-20190416-04

    Authors: Gerry Altmiller, EdD, APRN, ACNS-BC, FAAN; and Loraine Hopkins-Pepe, MSN, RN, CCRN-K

    200 Copyright © SLACK Incorporated

    Continuing education and professional development
    educators play a vital role in enhancing quality and safe-
    ty in the practice setting. To improve care delivery and
    achieve quality and safety goals, continuing education pro-
    grams for nurses must be transformed to include expanded
    content focused on quality and safety competencies (Sher-
    wood, 2017). Integrating the QSEN competencies into
    educational initiatives provides a standardized structure for
    content development and clearly delineates objectives to
    enhance the clarity of the material delivered. The QSEN
    competencies provide an effective foundation for nurses to
    influence and promote high-quality safe care.

    QSEN competencies have served as the underpinning of
    transition-to-practice programs but why not as the frame-
    work for continuing education? Integrating the QSEN
    competencies enables continuing education and profes-
    sional development educators to emphasize the “why”
    behind nursing interventions while also highlighting the
    evidence driving care. Additionally, framing educational
    offerings in the QSEN competencies allows all educators
    to promote the universal language of quality and safety.

    Finally, and perhaps most significantly, integrating the
    QSEN competencies into practice-based education pro-
    grams challenges educators to update and revitalize course
    content. Continuing education and professional develop-
    ment educators are often tasked with repeatedly teaching
    the same required courses containing content that becomes
    stagnant over time. By critically evaluating existing courses
    and revising them to integrate the QSEN competencies,
    these educators may begin teaching from a different lens,
    shifting their focus from teaching tasks to teaching concepts
    about how to influence and promote high-quality safe care.

    Continuing education and professional development edu-
    cators are influential in enhancing the quality and safety
    of care delivery, and The Journal of Continuing Education
    in Nursing will support QSEN competency implementa-
    tion in practice through the Teaching Tips column, begin-
    ning with this issue, by sharing strategies and ideas with
    educators so that they may perform this work effectively.
    Reframing continuing education programs in the QSEN
    competencies supports the work of continuing education
    and professional development educators as they work to
    better highlight the critical impact of the nursing profes-
    sion on quality care and patient outcomes.

    REfERENcES
    Center for Medicare & Medicaid Services. (2018). Hospital value-based

    purchasing. Retrieved from https://www.cms.gov/Medicare/Quality-
    Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/
    HVBP/Hospital-Value-Based-Purchasing.html

    Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J.,
    Mitchell, P., . . . & Warren, J. (2007). Quality and safety education for
    nurses. Nursing Outlook, 55, 122-131.

    Institute of Medicine. (2003). Health professions education: A bridge to
    quality. Washington, DC: National Academies Press.

    Lyle-Eldrosolo, G.L., & Waxman, K.T. (2016). Aligning healthcare safety
    and quality competencies: Quality and Safety Education for Nurses
    (QSEN), The Joint Commission, and American Nurses Credential-
    ing Center (ANCC) Magnet® Standards Crosswalk. Nurse Leader, 14,
    70-75.

    Sherwood, G. (2017). Driving forces for quality and safety: Changing
    mindsets to improve health care. In G. Sherwood & J. Barnsteiner
    (Eds.), Quality and safety in nursing: A competency approach to improv-
    ing outcomes (2nd ed., pp. 1-20). Hoboken, NJ: Wiley Blackwell.

    Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and
    safety: The QSEN competencies redefine nurses’ roles in practice. Ne-
    phrology Nursing Journal, 41, 15-22.

    Editor’s Note: This special guest editorial is presented as a beginning to a series in the Teaching Tips
    column that focuses on QSEN (Quality and Safety Education for Nurses). This new emphasis is designed to
    support nurses in practice as they enrich their knowledge, skills, and attitudes in addressing quality and safety
    issues.

    As The Journal of Continuing Education in Nursing celebrates our next half-century of editorial
    excellence, we welcome manuscripts that describe the ways continuing education/professional development
    educators prepare nurses with competencies for ensuring quality and safety in nursing care and demonstrate
    the link to improved patient outcomes.

    ~ Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FANOL, FAAN

    Reproduced with permission of copyright owner. Further reproduction prohibited
    without permission.

    **## Why_Quality_and_Safety_Educati.pdf**

    199The Journal of Continuing Education in Nursing · Vol 50, No 5, 2019

    The Quality and Safety Education for Nurses
    (QSEN) Collaboration formed in response to the
    call from the Institute of Medicine (now the Na-

    tional Academy of Medicine) to improve the quality and
    safety of health care. That call to action identified five com-
    petencies required by all health care providers to transform
    the health care system, shifting the emphasis to include
    patient-centered care, teamwork and collaboration, use of
    evidence-based practice, quality improvement skills, and
    the integrated use of informatics in the care provided for
    patients (Institute of Medicine, 2003). Shortly afterward
    in 2005, the QSEN collaboration, funded by the Robert
    Wood Johnson Foundation and led by Linda Cronenwett,
    adopted those five requisites, added safety as a sixth com-
    petency, and the newly developed QSEN competencies
    became the blueprint for nurse educators working to re-
    channel the focus of formal nursing education programs
    (Cronenwett et al., 2007). The QSEN competencies pro-
    vided a clear structure designed to change the identity of
    nursing from that of a task-oriented role to one driven by
    the knowledge, skills, and attitudes (KSA) that underpin
    quality and safety concepts.

    What followed was 13 years of transformation as the
    QSEN competencies were integrated into curriculum
    plans and accreditation standards for schools of nursing.
    QSEN provided resources and partnered with national
    nursing organizations to support the implementation of
    the competencies in nursing academia. In 2009, graduate-
    level QSEN competencies that demonstrated enhanced
    leadership KSAs were developed, but through all this, prac-
    tice was slow to embrace the QSEN competencies. Dur-
    ing this same time, practice saw the introduction of the
    Hospital Value-Based Purchasing program implemented
    by the Centers for Medicare & Medicaid Services (2018).
    This program reimbursed hospitals based on quality of
    care rather than quantity, thus driving efforts to improve
    quality and safety within health care systems. The Joint
    Commission Accreditation Standards supported hospitals
    in meeting the regulatory requirements and Magnet® stan-

    dards drove excellence. Through it all, the aims have always
    been congruent between nursing practice and academia,
    but the two have not always shared a common language or
    understanding.

    The work of Lyle-Edrosolo and Waxman (2016) has
    been significant in bridging academia and practice. Us-
    ing crosswalk methodology, they aligned the six QSEN
    competencies, the Magnet® standards, and the Joint Com-
    mission Accreditation Standards. This work demonstrates
    the relationship among these three driving forces and how
    nursing education framed in quality and safety aligns with
    expectations for excellence in nursing practice. Although
    the QSEN competencies were originally designed for nurs-
    ing education, this work validates the QSEN competencies
    as an effective framework to drive excellence and buttress
    the lifelong learning required by nursing professionals to
    ensure that the best care is provided to those who access
    the health care system.

    Nurses are the linchpin in achieving quality and safety
    outcomes, and they are frequently viewed as the last de-
    fense between the patient and potential errors (Sherwood
    & Zomorodi, 2014). In order to champion for safer health
    care for patients and to make an appreciable difference,
    nurses need to be informed and educated about quality
    and safety competencies (Sherwood & Zomorodi, 2014).
    QSEN competencies serve as an appropriate framework
    for education to address common issues confronting nurs-
    ing practice, such as medication errors, pressure injuries,
    and falls.

    Why Quality and Safety Education for
    Nurses (QSEN) Matters in Practice

    guest editorial

    Dr. Altmiller is Professor, Director of Quality and Safety Education
    for Nurses (QSEN) Institute Regional Center at The College of New Jersey,
    Ewing, New Jersey; and Ms. Hopkins-Pepe is Director, Nursing Education
    and Professional Development, Einstein Healthcare Network, Philadelphia,
    Pennsylvania.

    The authors have disclosed no potential conflicts of interest, financial or
    otherwise.

    Address correspondence to Gerry Altmiller, EdD, APRN, ACNS-BC,
    FAAN, Professor, Director of Quality and Safety Education for Nurses
    (QSEN) Institute Regional Center at The College of New Jersey, 2000 Pen-
    nington Road, Ewing, NJ 08628; e-mail: altmillg@tcnj.edu.

    doi:10.3928/00220124-20190416-04

    Authors: Gerry Altmiller, EdD, APRN, ACNS-BC, FAAN; and Loraine Hopkins-Pepe, MSN, RN, CCRN-K

    200 Copyright © SLACK Incorporated

    Continuing education and professional development
    educators play a vital role in enhancing quality and safe-
    ty in the practice setting. To improve care delivery and
    achieve quality and safety goals, continuing education pro-
    grams for nurses must be transformed to include expanded
    content focused on quality and safety competencies (Sher-
    wood, 2017). Integrating the QSEN competencies into
    educational initiatives provides a standardized structure for
    content development and clearly delineates objectives to
    enhance the clarity of the material delivered. The QSEN
    competencies provide an effective foundation for nurses to
    influence and promote high-quality safe care.

    QSEN competencies have served as the underpinning of
    transition-to-practice programs but why not as the frame-
    work for continuing education? Integrating the QSEN
    competencies enables continuing education and profes-
    sional development educators to emphasize the “why”
    behind nursing interventions while also highlighting the
    evidence driving care. Additionally, framing educational
    offerings in the QSEN competencies allows all educators
    to promote the universal language of quality and safety.

    Finally, and perhaps most significantly, integrating the
    QSEN competencies into practice-based education pro-
    grams challenges educators to update and revitalize course
    content. Continuing education and professional develop-
    ment educators are often tasked with repeatedly teaching
    the same required courses containing content that becomes
    stagnant over time. By critically evaluating existing courses
    and revising them to integrate the QSEN competencies,
    these educators may begin teaching from a different lens,
    shifting their focus from teaching tasks to teaching concepts
    about how to influence and promote high-quality safe care.

    Continuing education and professional development edu-
    cators are influential in enhancing the quality and safety
    of care delivery, and The Journal of Continuing Education
    in Nursing will support QSEN competency implementa-
    tion in practice through the Teaching Tips column, begin-
    ning with this issue, by sharing strategies and ideas with
    educators so that they may perform this work effectively.
    Reframing continuing education programs in the QSEN
    competencies supports the work of continuing education
    and professional development educators as they work to
    better highlight the critical impact of the nursing profes-
    sion on quality care and patient outcomes.

    REfERENcES
    Center for Medicare & Medicaid Services. (2018). Hospital value-based

    purchasing. Retrieved from https://www.cms.gov/Medicare/Quality-
    Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/
    HVBP/Hospital-Value-Based-Purchasing.html

    Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J.,
    Mitchell, P., . . . & Warren, J. (2007). Quality and safety education for
    nurses. Nursing Outlook, 55, 122-131.

    Institute of Medicine. (2003). Health professions education: A bridge to
    quality. Washington, DC: National Academies Press.

    Lyle-Eldrosolo, G.L., & Waxman, K.T. (2016). Aligning healthcare safety
    and quality competencies: Quality and Safety Education for Nurses
    (QSEN), The Joint Commission, and American Nurses Credential-
    ing Center (ANCC) Magnet® Standards Crosswalk. Nurse Leader, 14,
    70-75.

    Sherwood, G. (2017). Driving forces for quality and safety: Changing
    mindsets to improve health care. In G. Sherwood & J. Barnsteiner
    (Eds.), Quality and safety in nursing: A competency approach to improv-
    ing outcomes (2nd ed., pp. 1-20). Hoboken, NJ: Wiley Blackwell.

    Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and
    safety: The QSEN competencies redefine nurses’ roles in practice. Ne-
    phrology Nursing Journal, 41, 15-22.

    Editor’s Note: This special guest editorial is presented as a beginning to a series in the Teaching Tips
    column that focuses on QSEN (Quality and Safety Education for Nurses). This new emphasis is designed to
    support nurses in practice as they enrich their knowledge, skills, and attitudes in addressing quality and safety
    issues.

    As The Journal of Continuing Education in Nursing celebrates our next half-century of editorial
    excellence, we welcome manuscripts that describe the ways continuing education/professional development
    educators prepare nurses with competencies for ensuring quality and safety in nursing care and demonstrate
    the link to improved patient outcomes.

    ~ Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FANOL, FAAN

    Reproduced with permission of copyright owner. Further reproduction prohibited
    without permission.

    **## assessment1Instruction.pdf**

    For this assessment, you will develop a 3 page paper that examines a safety quality
    issue in a health care setting. You will analyze the issue and examine potential
    evidence-based and best-practice solutions from the literature as well as the role of
    nurses and other stakeholders in addressing the issue.

    Criterion:
    1. Explains factors leading to a specific patient-safety risk in a health care setting.

    Makes reference to specific data, evidence, or standards to illustrate the safety
    risk.

    2. Explains evidence-based and best practice solutions to improve patient safety
    and reduce costs. Makes explicit reference to scholarly or professional resources
    to support explanation.

    3. Explains how nurses can help coordinate care to increase patient safety and
    reduce costs, providing specific examples related to a patient safety risk.

    4. Identifies stakeholders with whom nurses would need to coordinate to drive
    quality and safety enhancements with a specific safety quality issue, noting the
    relevance and potential importance of the stakeholders.

    5. Organizes content with a clear purpose. Content flows logically with smooth
    transitions using coherent paragraphs, correct grammar or punctuation, word
    choice, and free of spelling errors.

    6. Apply APA formatting to in-text citations and references exhibiting nearly
    flawless adherence to APA format. Exhibits strict and flawless adherence to
    APA formatting of headings, in-text citations, and references. Quotes and
    paraphrases correctly.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## Why_Quality_and_Safety_Educati.pdf**

    199The Journal of Continuing Education in Nursing · Vol 50, No 5, 2019

    The Quality and Safety Education for Nurses
    (QSEN) Collaboration formed in response to the
    call from the Institute of Medicine (now the Na-

    tional Academy of Medicine) to improve the quality and
    safety of health care. That call to action identified five com-
    petencies required by all health care providers to transform
    the health care system, shifting the emphasis to include
    patient-centered care, teamwork and collaboration, use of
    evidence-based practice, quality improvement skills, and
    the integrated use of informatics in the care provided for
    patients (Institute of Medicine, 2003). Shortly afterward
    in 2005, the QSEN collaboration, funded by the Robert
    Wood Johnson Foundation and led by Linda Cronenwett,
    adopted those five requisites, added safety as a sixth com-
    petency, and the newly developed QSEN competencies
    became the blueprint for nurse educators working to re-
    channel the focus of formal nursing education programs
    (Cronenwett et al., 2007). The QSEN competencies pro-
    vided a clear structure designed to change the identity of
    nursing from that of a task-oriented role to one driven by
    the knowledge, skills, and attitudes (KSA) that underpin
    quality and safety concepts.

    What followed was 13 years of transformation as the
    QSEN competencies were integrated into curriculum
    plans and accreditation standards for schools of nursing.
    QSEN provided resources and partnered with national
    nursing organizations to support the implementation of
    the competencies in nursing academia. In 2009, graduate-
    level QSEN competencies that demonstrated enhanced
    leadership KSAs were developed, but through all this, prac-
    tice was slow to embrace the QSEN competencies. Dur-
    ing this same time, practice saw the introduction of the
    Hospital Value-Based Purchasing program implemented
    by the Centers for Medicare & Medicaid Services (2018).
    This program reimbursed hospitals based on quality of
    care rather than quantity, thus driving efforts to improve
    quality and safety within health care systems. The Joint
    Commission Accreditation Standards supported hospitals
    in meeting the regulatory requirements and Magnet® stan-

    dards drove excellence. Through it all, the aims have always
    been congruent between nursing practice and academia,
    but the two have not always shared a common language or
    understanding.

    The work of Lyle-Edrosolo and Waxman (2016) has
    been significant in bridging academia and practice. Us-
    ing crosswalk methodology, they aligned the six QSEN
    competencies, the Magnet® standards, and the Joint Com-
    mission Accreditation Standards. This work demonstrates
    the relationship among these three driving forces and how
    nursing education framed in quality and safety aligns with
    expectations for excellence in nursing practice. Although
    the QSEN competencies were originally designed for nurs-
    ing education, this work validates the QSEN competencies
    as an effective framework to drive excellence and buttress
    the lifelong learning required by nursing professionals to
    ensure that the best care is provided to those who access
    the health care system.

    Nurses are the linchpin in achieving quality and safety
    outcomes, and they are frequently viewed as the last de-
    fense between the patient and potential errors (Sherwood
    & Zomorodi, 2014). In order to champion for safer health
    care for patients and to make an appreciable difference,
    nurses need to be informed and educated about quality
    and safety competencies (Sherwood & Zomorodi, 2014).
    QSEN competencies serve as an appropriate framework
    for education to address common issues confronting nurs-
    ing practice, such as medication errors, pressure injuries,
    and falls.

    Why Quality and Safety Education for
    Nurses (QSEN) Matters in Practice

    guest editorial

    Dr. Altmiller is Professor, Director of Quality and Safety Education
    for Nurses (QSEN) Institute Regional Center at The College of New Jersey,
    Ewing, New Jersey; and Ms. Hopkins-Pepe is Director, Nursing Education
    and Professional Development, Einstein Healthcare Network, Philadelphia,
    Pennsylvania.

    The authors have disclosed no potential conflicts of interest, financial or
    otherwise.

    Address correspondence to Gerry Altmiller, EdD, APRN, ACNS-BC,
    FAAN, Professor, Director of Quality and Safety Education for Nurses
    (QSEN) Institute Regional Center at The College of New Jersey, 2000 Pen-
    nington Road, Ewing, NJ 08628; e-mail: altmillg@tcnj.edu.

    doi:10.3928/00220124-20190416-04

    Authors: Gerry Altmiller, EdD, APRN, ACNS-BC, FAAN; and Loraine Hopkins-Pepe, MSN, RN, CCRN-K

    200 Copyright © SLACK Incorporated

    Continuing education and professional development
    educators play a vital role in enhancing quality and safe-
    ty in the practice setting. To improve care delivery and
    achieve quality and safety goals, continuing education pro-
    grams for nurses must be transformed to include expanded
    content focused on quality and safety competencies (Sher-
    wood, 2017). Integrating the QSEN competencies into
    educational initiatives provides a standardized structure for
    content development and clearly delineates objectives to
    enhance the clarity of the material delivered. The QSEN
    competencies provide an effective foundation for nurses to
    influence and promote high-quality safe care.

    QSEN competencies have served as the underpinning of
    transition-to-practice programs but why not as the frame-
    work for continuing education? Integrating the QSEN
    competencies enables continuing education and profes-
    sional development educators to emphasize the “why”
    behind nursing interventions while also highlighting the
    evidence driving care. Additionally, framing educational
    offerings in the QSEN competencies allows all educators
    to promote the universal language of quality and safety.

    Finally, and perhaps most significantly, integrating the
    QSEN competencies into practice-based education pro-
    grams challenges educators to update and revitalize course
    content. Continuing education and professional develop-
    ment educators are often tasked with repeatedly teaching
    the same required courses containing content that becomes
    stagnant over time. By critically evaluating existing courses
    and revising them to integrate the QSEN competencies,
    these educators may begin teaching from a different lens,
    shifting their focus from teaching tasks to teaching concepts
    about how to influence and promote high-quality safe care.

    Continuing education and professional development edu-
    cators are influential in enhancing the quality and safety
    of care delivery, and The Journal of Continuing Education
    in Nursing will support QSEN competency implementa-
    tion in practice through the Teaching Tips column, begin-
    ning with this issue, by sharing strategies and ideas with
    educators so that they may perform this work effectively.
    Reframing continuing education programs in the QSEN
    competencies supports the work of continuing education
    and professional development educators as they work to
    better highlight the critical impact of the nursing profes-
    sion on quality care and patient outcomes.

    REfERENcES
    Center for Medicare & Medicaid Services. (2018). Hospital value-based

    purchasing. Retrieved from https://www.cms.gov/Medicare/Quality-
    Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/
    HVBP/Hospital-Value-Based-Purchasing.html

    Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J.,
    Mitchell, P., . . . & Warren, J. (2007). Quality and safety education for
    nurses. Nursing Outlook, 55, 122-131.

    Institute of Medicine. (2003). Health professions education: A bridge to
    quality. Washington, DC: National Academies Press.

    Lyle-Eldrosolo, G.L., & Waxman, K.T. (2016). Aligning healthcare safety
    and quality competencies: Quality and Safety Education for Nurses
    (QSEN), The Joint Commission, and American Nurses Credential-
    ing Center (ANCC) Magnet® Standards Crosswalk. Nurse Leader, 14,
    70-75.

    Sherwood, G. (2017). Driving forces for quality and safety: Changing
    mindsets to improve health care. In G. Sherwood & J. Barnsteiner
    (Eds.), Quality and safety in nursing: A competency approach to improv-
    ing outcomes (2nd ed., pp. 1-20). Hoboken, NJ: Wiley Blackwell.

    Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and
    safety: The QSEN competencies redefine nurses’ roles in practice. Ne-
    phrology Nursing Journal, 41, 15-22.

    Editor’s Note: This special guest editorial is presented as a beginning to a series in the Teaching Tips
    column that focuses on QSEN (Quality and Safety Education for Nurses). This new emphasis is designed to
    support nurses in practice as they enrich their knowledge, skills, and attitudes in addressing quality and safety
    issues.

    As The Journal of Continuing Education in Nursing celebrates our next half-century of editorial
    excellence, we welcome manuscripts that describe the ways continuing education/professional development
    educators prepare nurses with competencies for ensuring quality and safety in nursing care and demonstrate
    the link to improved patient outcomes.

    ~ Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FANOL, FAAN

    Reproduced with permission of copyright owner. Further reproduction prohibited
    without permission.

    **## assessment1Instruction.pdf**

    For this assessment, you will develop a 3 page paper that examines a safety quality
    issue in a health care setting. You will analyze the issue and examine potential
    evidence-based and best-practice solutions from the literature as well as the role of
    nurses and other stakeholders in addressing the issue.

    Criterion:
    1. Explains factors leading to a specific patient-safety risk in a health care setting.

    Makes reference to specific data, evidence, or standards to illustrate the safety
    risk.

    2. Explains evidence-based and best practice solutions to improve patient safety
    and reduce costs. Makes explicit reference to scholarly or professional resources
    to support explanation.

    3. Explains how nurses can help coordinate care to increase patient safety and
    reduce costs, providing specific examples related to a patient safety risk.

    4. Identifies stakeholders with whom nurses would need to coordinate to drive
    quality and safety enhancements with a specific safety quality issue, noting the
    relevance and potential importance of the stakeholders.

    5. Organizes content with a clear purpose. Content flows logically with smooth
    transitions using coherent paragraphs, correct grammar or punctuation, word
    choice, and free of spelling errors.

    6. Apply APA formatting to in-text citations and references exhibiting nearly
    flawless adherence to APA format. Exhibits strict and flawless adherence to
    APA formatting of headings, in-text citations, and references. Quotes and
    paraphrases correctly.

    **## Assessment01EnhancingQualityandSafety.pdf**

    Assessment 01 – Enhancing Quality and Safety
    For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
    a health care setting. You will analyze the issue and examine potential evidence-based and
    best-practice solutions from the literature as well as the role of nurses and other stakeholders in
    addressing the issue.

    Before you complete the instructions detailed in the courseroom, first select one of the safety
    quality issues below to analyze for this assessment. After you have selected one of the issues
    from the list below, return to the detailed instructions in the courseroom to complete your
    assessment.

    ● LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
    individuals often face unique health challenges and disparities. A lack of knowledge or
    sensitivity toward their specific needs can lead to inadequate care, discrimination, and
    even avoidable health complications. Here's why addressing understanding and
    addressing the specific needs of these populations is essential:

    – Affirmation and Respect: Using correct pronouns, names, and understanding
    the specific health needs of transgender and LGBTQ+ individuals can create an
    environment of respect and affirmation. This respect is foundational to building
    trust and ensuring that patients feel safe and understood in healthcare settings.

    – Mental and Emotional Well-being: Due to societal stigmas and discrimination,
    LGBTQ+ and transgender individuals may face higher rates of anxiety,
    depression, and other mental health challenges. Being sensitive to these needs
    and providing appropriate support is crucial for holistic care.

    – Addressing Health Disparities: LGBTQ+ and transgender individuals might be
    at higher risk for certain health issues. For instance, transgender women might
    be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
    higher risk for certain cancers. Knowledge of these disparities can guide
    preventive care, screenings, and early interventions.

    – Gender-Affirming Care: Transgender individuals might seek various medical
    interventions as part of their transition, such as hormone therapies or surgeries.
    Understanding the medical and emotional aspects of these treatments is crucial
    for providing comprehensive care.

    – Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
    deter LGBTQ+ and transgender individuals from seeking care, adhering to
    medical advice, or disclosing essential information about their health. Ensuring
    an inclusive and non-discriminatory environment is vital for effective care
    delivery.

    – Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
    accessing sexual and reproductive health services. Being knowledgeable and
    non-judgmental about diverse sexual orientations and practices can lead to better
    patient education and care in this domain.

    – Social and Community Support: Recognizing the importance of community and
    chosen family for many LGBTQ+ and transgender individuals can guide care
    plans, especially when considering mental health support or discharge planning.

    – Legal and Ethical Considerations: In many regions, there are legal protections
    in place to ensure non-discrimination based on sexual orientation or gender
    identity. Being aware of these protections is not only a legal obligation but an
    ethical one, ensuring that all patients receive equitable care.

    ● Patient Identification Errors in Healthcare: Ensuring the correct identification of
    patients is a foundational aspect of safe healthcare delivery. When errors occur in this
    basic step, the ripple effects can be catastrophic. Here's why understanding and
    preventing patient identification errors is essential:

    – Patient Safety and Well-being: The most immediate and alarming consequence
    of patient identification errors is the potential harm to the patient. Administering
    the wrong medication, performing surgery on the wrong site, or providing
    inappropriate treatments can lead to severe complications, prolonged recovery,
    or even death.

    – Loss of Trust: When patients or their families experience or witness
    identification errors, their trust in the healthcare system can be severely eroded.
    This loss of trust can make patients hesitant to seek care in the future or follow
    medical advice, potentially compromising their health.

    – Professional Reputation: For healthcare professionals, being involved in an
    identification error can have lasting implications on their reputation. Such errors
    can lead to disciplinary actions, loss of licensure, or legal consequences.

    – Legal and Financial Implications: Patient identification errors can result in
    lawsuits, leading to significant financial penalties for healthcare institutions.
    Beyond the direct costs of litigation, there's the potential for increased insurance
    premiums and the costs associated with implementing corrective measures

    – Operational Disruptions: Identification errors can disrupt the normal flow of
    operations in a healthcare setting. They may necessitate additional tests,
    procedures, or interventions to correct the error, leading to delays and
    inefficiencies.

    – Emotional Toll on Healthcare Providers: Realizing that one has been involved
    in an identification error can be emotionally devastating for healthcare providers.
    Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
    some professionals to question their career choice.

    – Increased Healthcare Costs: Beyond the direct costs associated with correcting
    the error, there are indirect costs to consider. These might include extended
    hospital stays, additional treatments, and the long-term care needs of patients
    who experience complications due to the error.

    – Regulatory and Accreditation Implications: Healthcare facilities are subject to
    regulations and standards set by accrediting bodies. Identification errors can lead
    to penalties, increased scrutiny, and potential challenges in maintaining
    accreditation.

    **## Why_Quality_and_Safety_Educati.pdf**

    199The Journal of Continuing Education in Nursing · Vol 50, No 5, 2019

    The Quality and Safety Education for Nurses
    (QSEN) Collaboration formed in response to the
    call from the Institute of Medicine (now the Na-

    tional Academy of Medicine) to improve the quality and
    safety of health care. That call to action identified five com-
    petencies required by all health care providers to transform
    the health care system, shifting the emphasis to include
    patient-centered care, teamwork and collaboration, use of
    evidence-based practice, quality improvement skills, and
    the integrated use of informatics in the care provided for
    patients (Institute of Medicine, 2003). Shortly afterward
    in 2005, the QSEN collaboration, funded by the Robert
    Wood Johnson Foundation and led by Linda Cronenwett,
    adopted those five requisites, added safety as a sixth com-
    petency, and the newly developed QSEN competencies
    became the blueprint for nurse educators working to re-
    channel the focus of formal nursing education programs
    (Cronenwett et al., 2007). The QSEN competencies pro-
    vided a clear structure designed to change the identity of
    nursing from that of a task-oriented role to one driven by
    the knowledge, skills, and attitudes (KSA) that underpin
    quality and safety concepts.

    What followed was 13 years of transformation as the
    QSEN competencies were integrated into curriculum
    plans and accreditation standards for schools of nursing.
    QSEN provided resources and partnered with national
    nursing organizations to support the implementation of
    the competencies in nursing academia. In 2009, graduate-
    level QSEN competencies that demonstrated enhanced
    leadership KSAs were developed, but through all this, prac-
    tice was slow to embrace the QSEN competencies. Dur-
    ing this same time, practice saw the introduction of the
    Hospital Value-Based Purchasing program implemented
    by the Centers for Medicare & Medicaid Services (2018).
    This program reimbursed hospitals based on quality of
    care rather than quantity, thus driving efforts to improve
    quality and safety within health care systems. The Joint
    Commission Accreditation Standards supported hospitals
    in meeting the regulatory requirements and Magnet® stan-

    dards drove excellence. Through it all, the aims have always
    been congruent between nursing practice and academia,
    but the two have not always shared a common language or
    understanding.

    The work of Lyle-Edrosolo and Waxman (2016) has
    been significant in bridging academia and practice. Us-
    ing crosswalk methodology, they aligned the six QSEN
    competencies, the Magnet® standards, and the Joint Com-
    mission Accreditation Standards. This work demonstrates
    the relationship among these three driving forces and how
    nursing education framed in quality and safety aligns with
    expectations for excellence in nursing practice. Although
    the QSEN competencies were originally designed for nurs-
    ing education, this work validates the QSEN competencies
    as an effective framework to drive excellence and buttress
    the lifelong learning required by nursing professionals to
    ensure that the best care is provided to those who access
    the health care system.

    Nurses are the linchpin in achieving quality and safety
    outcomes, and they are frequently viewed as the last de-
    fense between the patient and potential errors (Sherwood
    & Zomorodi, 2014). In order to champion for safer health
    care for patients and to make an appreciable difference,
    nurses need to be informed and educated about quality
    and safety competencies (Sherwood & Zomorodi, 2014).
    QSEN competencies serve as an appropriate framework
    for education to address common issues confronting nurs-
    ing practice, such as medication errors, pressure injuries,
    and falls.

    Why Quality and Safety Education for
    Nurses (QSEN) Matters in Practice

    guest editorial

    Dr. Altmiller is Professor, Director of Quality and Safety Education
    for Nurses (QSEN) Institute Regional Center at The College of New Jersey,
    Ewing, New Jersey; and Ms. Hopkins-Pepe is Director, Nursing Education
    and Professional Development, Einstein Healthcare Network, Philadelphia,
    Pennsylvania.

    The authors have disclosed no potential conflicts of interest, financial or
    otherwise.

    Address correspondence to Gerry Altmiller, EdD, APRN, ACNS-BC,
    FAAN, Professor, Director of Quality and Safety Education for Nurses
    (QSEN) Institute Regional Center at The College of New Jersey, 2000 Pen-
    nington Road, Ewing, NJ 08628; e-mail: altmillg@tcnj.edu.

    doi:10.3928/00220124-20190416-04

    Authors: Gerry Altmiller, EdD, APRN, ACNS-BC, FAAN; and Loraine Hopkins-Pepe, MSN, RN, CCRN-K

    200 Copyright © SLACK Incorporated

    Continuing education and professional development
    educators play a vital role in enhancing quality and safe-
    ty in the practice setting. To improve care delivery and
    achieve quality and safety goals, continuing education pro-
    grams for nurses must be transformed to include expanded
    content focused on quality and safety competencies (Sher-
    wood, 2017). Integrating the QSEN competencies into
    educational initiatives provides a standardized structure for
    content development and clearly delineates objectives to
    enhance the clarity of the material delivered. The QSEN
    competencies provide an effective foundation for nurses to
    influence and promote high-quality safe care.

    QSEN competencies have served as the underpinning of
    transition-to-practice programs but why not as the frame-
    work for continuing education? Integrating the QSEN
    competencies enables continuing education and profes-
    sional development educators to emphasize the “why”
    behind nursing interventions while also highlighting the
    evidence driving care. Additionally, framing educational
    offerings in the QSEN competencies allows all educators
    to promote the universal language of quality and safety.

    Finally, and perhaps most significantly, integrating the
    QSEN competencies into practice-based education pro-
    grams challenges educators to update and revitalize course
    content. Continuing education and professional develop-
    ment educators are often tasked with repeatedly teaching
    the same required courses containing content that becomes
    stagnant over time. By critically evaluating existing courses
    and revising them to integrate the QSEN competencies,
    these educators may begin teaching from a different lens,
    shifting their focus from teaching tasks to teaching concepts
    about how to influence and promote high-quality safe care.

    Continuing education and professional development edu-
    cators are influential in enhancing the quality and safety
    of care delivery, and The Journal of Continuing Education
    in Nursing will support QSEN competency implementa-
    tion in practice through the Teaching Tips column, begin-
    ning with this issue, by sharing strategies and ideas with
    educators so that they may perform this work effectively.
    Reframing continuing education programs in the QSEN
    competencies supports the work of continuing education
    and professional development educators as they work to
    better highlight the critical impact of the nursing profes-
    sion on quality care and patient outcomes.

    REfERENcES
    Center for Medicare & Medicaid Services. (2018). Hospital value-based

    purchasing. Retrieved from https://www.cms.gov/Medicare/Quality-
    Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/
    HVBP/Hospital-Value-Based-Purchasing.html

    Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J.,
    Mitchell, P., . . . & Warren, J. (2007). Quality and safety education for
    nurses. Nursing Outlook, 55, 122-131.

    Institute of Medicine. (2003). Health professions education: A bridge to
    quality. Washington, DC: National Academies Press.

    Lyle-Eldrosolo, G.L., & Waxman, K.T. (2016). Aligning healthcare safety
    and quality competencies: Quality and Safety Education for Nurses
    (QSEN), The Joint Commission, and American Nurses Credential-
    ing Center (ANCC) Magnet® Standards Crosswalk. Nurse Leader, 14,
    70-75.

    Sherwood, G. (2017). Driving forces for quality and safety: Changing
    mindsets to improve health care. In G. Sherwood & J. Barnsteiner
    (Eds.), Quality and safety in nursing: A competency approach to improv-
    ing outcomes (2nd ed., pp. 1-20). Hoboken, NJ: Wiley Blackwell.

    Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and
    safety: The QSEN competencies redefine nurses’ roles in practice. Ne-
    phrology Nursing Journal, 41, 15-22.

    Editor’s Note: This special guest editorial is presented as a beginning to a series in the Teaching Tips
    column that focuses on QSEN (Quality and Safety Education for Nurses). This new emphasis is designed to
    support nurses in practice as they enrich their knowledge, skills, and attitudes in addressing quality and safety
    issues.

    As The Journal of Continuing Education in Nursing celebrates our next half-century of editorial
    excellence, we welcome manuscripts that describe the ways continuing education/professional development
    educators prepare nurses with competencies for ensuring quality and safety in nursing care and demonstrate
    the link to improved patient outcomes.

    ~ Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FANOL, FAAN

    Reproduced with permission of copyright owner. Further reproduction prohibited
    without permission.

  • [Solved] assist week 4

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    – 2 years ago **files (1)** – ## MH512week4.docx **## MH512week4.docx** **Week 4 – Assignment: Prepare a Corrective Plan** Read the case below and prepare the corrective plan as indicated. Your hospital is a public, 500-bed hospital located in a southern U.S. city. Because of its location within the…

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    – 2 years ago

    **files (1)**

    – ## MH512week4.docx

    **## MH512week4.docx**

    **Week 4 – Assignment: Prepare a Corrective Plan**

    Read the case below and prepare the corrective plan as indicated.

    Your hospital is a public, 500-bed hospital located in a southern U.S. city. Because of its location within the city, the hospital provides a high percentage of uncompensated care to patients unable to pay for the services. Your hospital also has a strong medical residency program and research conducted in conjunction with the medical school. You are the director over several nursing units, one of them the 60-bed Medical/Surgical Unit.

    This case involves you, LPN “Sally,” and unit manager/RN “Teri.”

    “Sally” is an LPN and has been working on a nursing unit of your hospital for 24 months. Before that, Sally worked as an LPN in a nursing home owned by Sally’s brother. Since Sally was hired, Sally’s performance evaluations have been low to average. Since being hired, Sally has received three performance evaluations and a 2% cost-of-living raise that was given to all employees—this was not a merit-based raise associated with employee performance.

    Because of Sally’s mediocre performance, she did not receive a merit raise that was awarded to some of the higher-performing employees on her unit. She has not been able to keep up with the patient load, charting, and work assignments that come with working on this unit and using the new electronic medical record system the hospital recently purchased. Sally appears disorganized and unable to quickly assess patients. Sally also spends longer than necessary interacting with the patients and their families. She falls behind every shift despite trying to work past the end of the assigned shift. Because of the budget, she has been told that no one can work any unapproved overtime.

    As a result, Sally has been caught on four occasions clocking out at the end of her assigned shift and then returning to the unit to complete her work. While Sally has never been written up for working off the clock, she has been told twice by the charge nurse that she cannot work off the clock. Sally has been observed frequently consulting the training manual for the new software, although none of her coworkers are having any difficulty learning the new system.

    As a matter of information, you have been in your role for 12 months and you’ve learned that Sally’s previous director seemed more willing to accept her work and overlook some of her performance deficiencies. “Teri,” who is Sally’s unit manager (there are four unit managers who report to you for the Medical/Surgical Unit), is also new to the unit and appears to have more stringent standards than Teri’s predecessor.

    Both you and Teri have received robust training from HR on how to develop performance improvement plans. Your task now is to create an effective performance improvement plan that addresses the issues you’ve observed in Sally’s performance. As you were trained, the plan must include at least:

    · Performance observed

    · Performance expected

    · Description of the gap between observed and expected

    · Specific steps to correct deficiencies

    · Timeline for correction

    · Consequences for success and consequences for failure to perform

    Length: 3-4 pages, not including title and reference pages

    References: Include a minimum of 3 scholarly resources

    ·
    [**Human resources in healthcare: Managing for success (4th ed.).**](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=975459&site=eds-live&AuthType=ip,shib&custid=natuniv)

    Fried, B., & Fottler, M. D. (2015).
    _Human resources in healthcare: Managing for success_(4th ed.). Health Administration Press.

    **Read Chapters 8 and 11**

    ·
    [**Strategic performance management: Development of a performance measurement system at the Mayo…**](https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=2735528&site=eds-live&AuthType=ip,shib&custid=natuniv)

    **Curtright, J. W., & Stolp-Smith, S. C. (2000). Strategic performance management: Development of a performance measurement system at the Mayo… Journal of Healthcare Management, 45(1), 58. https://doi-org.proxy1.ncu.edu/10.1097/00115514-200001000-00014**

    ·
    [**A performance management framework for healthcare. Becker’s Hospital Review**](https://www.beckershospitalreview.com/)

    **Lichlyter, P. (2018, July 16). A performance management framework for healthcare. Becker’s Hospital Review.**
    **In the website search area at the top of the page, type the author's last name, Lichlyter. From the search results, click the link to the article referenced above.**

    ·
    [**Build a culture of accountability in 5 steps**](https://www.entrepreneur.com/article/298342)

    **White, D., & White P. (2017, August 8). Build a culture of accountability in 5 steps. Entrepreneur.**

    **## MH512week4.docx**

    **Week 4 – Assignment: Prepare a Corrective Plan**

    Read the case below and prepare the corrective plan as indicated.

    Your hospital is a public, 500-bed hospital located in a southern U.S. city. Because of its location within the city, the hospital provides a high percentage of uncompensated care to patients unable to pay for the services. Your hospital also has a strong medical residency program and research conducted in conjunction with the medical school. You are the director over several nursing units, one of them the 60-bed Medical/Surgical Unit.

    This case involves you, LPN “Sally,” and unit manager/RN “Teri.”

    “Sally” is an LPN and has been working on a nursing unit of your hospital for 24 months. Before that, Sally worked as an LPN in a nursing home owned by Sally’s brother. Since Sally was hired, Sally’s performance evaluations have been low to average. Since being hired, Sally has received three performance evaluations and a 2% cost-of-living raise that was given to all employees—this was not a merit-based raise associated with employee performance.

    Because of Sally’s mediocre performance, she did not receive a merit raise that was awarded to some of the higher-performing employees on her unit. She has not been able to keep up with the patient load, charting, and work assignments that come with working on this unit and using the new electronic medical record system the hospital recently purchased. Sally appears disorganized and unable to quickly assess patients. Sally also spends longer than necessary interacting with the patients and their families. She falls behind every shift despite trying to work past the end of the assigned shift. Because of the budget, she has been told that no one can work any unapproved overtime.

    As a result, Sally has been caught on four occasions clocking out at the end of her assigned shift and then returning to the unit to complete her work. While Sally has never been written up for working off the clock, she has been told twice by the charge nurse that she cannot work off the clock. Sally has been observed frequently consulting the training manual for the new software, although none of her coworkers are having any difficulty learning the new system.

    As a matter of information, you have been in your role for 12 months and you’ve learned that Sally’s previous director seemed more willing to accept her work and overlook some of her performance deficiencies. “Teri,” who is Sally’s unit manager (there are four unit managers who report to you for the Medical/Surgical Unit), is also new to the unit and appears to have more stringent standards than Teri’s predecessor.

    Both you and Teri have received robust training from HR on how to develop performance improvement plans. Your task now is to create an effective performance improvement plan that addresses the issues you’ve observed in Sally’s performance. As you were trained, the plan must include at least:

    · Performance observed

    · Performance expected

    · Description of the gap between observed and expected

    · Specific steps to correct deficiencies

    · Timeline for correction

    · Consequences for success and consequences for failure to perform

    Length: 3-4 pages, not including title and reference pages

    References: Include a minimum of 3 scholarly resources

    ·
    [**Human resources in healthcare: Managing for success (4th ed.).**](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=975459&site=eds-live&AuthType=ip,shib&custid=natuniv)

    Fried, B., & Fottler, M. D. (2015).
    _Human resources in healthcare: Managing for success_(4th ed.). Health Administration Press.

    **Read Chapters 8 and 11**

    ·
    [**Strategic performance management: Development of a performance measurement system at the Mayo…**](https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=2735528&site=eds-live&AuthType=ip,shib&custid=natuniv)

    **Curtright, J. W., & Stolp-Smith, S. C. (2000). Strategic performance management: Development of a performance measurement system at the Mayo… Journal of Healthcare Management, 45(1), 58. https://doi-org.proxy1.ncu.edu/10.1097/00115514-200001000-00014**

    ·
    [**A performance management framework for healthcare. Becker’s Hospital Review**](https://www.beckershospitalreview.com/)

    **Lichlyter, P. (2018, July 16). A performance management framework for healthcare. Becker’s Hospital Review.**
    **In the website search area at the top of the page, type the author's last name, Lichlyter. From the search results, click the link to the article referenced above.**

    ·
    [**Build a culture of accountability in 5 steps**](https://www.entrepreneur.com/article/298342)

    **White, D., & White P. (2017, August 8). Build a culture of accountability in 5 steps. Entrepreneur.**