NURSING
Root-Cause Analysis and Safety Improvement Plan
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· 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 pertaining to medication administration in a health care setting of your choice as well as a safety improvement plan.
As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. The baccalaureate nurse’s role as a leader is to create safety improvement plans as well as disseminate vital information to staff nurses and other health care professionals to protect patients and improve outcomes.
As you prepare for this assessment, it would be an excellent choice to complete the Quality and Safety Improvement Plan Knowledge Base activity and to review the various assessment resources, all of which will help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities are not graded and demonstrate course engagement.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Analyze the elements of a successful quality improvement initiative.
1. Apply evidence-based and best-practice strategies to address a safety issue or sentinel event pertaining to medication administration. ;
1. Create a viable, evidence-based safety improvement plan for safe medication administration.
. Competency 2: Analyze factors that lead to patient safety risks.
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. Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.
. Competency 3: Identify organizational interventions to promote patient safety.
3. Identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration.
. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
4
. Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Professional Context
Nursing practice is governed by health care policies and procedures as well as state and national regulations developed to prevent problems. It is critical for nurses to participate in gathering and analyzing data to determine causes of patient safety issues, in solving problems, and in implementing quality improvements.
Scenario
For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:
. The specific safety concern identified in your previous assessment pertaining to medication administration safety concerns.
. The readings, case studies, or a personal experience in which a sentinel event occurred surrounding an issue or concern with medication administration.
Instructions
The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern of medication administration safety based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.
Use the
Root-Cause Analysis and Improvement Plan [DOCX]
template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
. Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.
. Apply evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration.
. Create a feasible, evidence-based safety improvement plan for safe medication administration.
. Identify organizational resources that could be leveraged to improve your plan for safe medication administration.
. Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your Assessment 2 will focus on safe medication administration.
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Assessment 2 Example [PDF]
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Additional Requirements
. Length of submission: Use the provided Root-Cause Analysis and Improvement Plan template to create a 4 page root cause analysis and safety improvement plan pertaining to medication administration.
. Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
. APA formatting: Format references and citations according to current APA style.
Thank you for submitting the assessment! You received a high similarity score with SafeAssign. This can happen when not citing or using a reference correctly or when there’s word for word matches to the source or another learner’s paper. Please look at the matches and you will see a significant percentage of matches to other learners’ papers. Please see the screenshots provided. There needs to be more paraphrasing on your part into your own words and thoughts. A 97% match is quite high. Although, all SafeAssign scores should be checked no matter the percentage of matches as there is no magical number. P
Due to the extent of the matches an Academic Honesty form needed to be filed. You will be contacted by Learner Affairs shortly when a report and directions on what needs to be completed to move forward.
In the future, I suggest that you submit your assessments to SafeAssign as a draft to determine whether your work matches existing sources published elsewhere before submitting for grading. By doing it that way, you will be provided an opportunity to review these matches and correct them to lower your similarity results and avoid plagiarism concerns. A good rule of thumb is to review the highlighted areas and ask yourself if you cited correctly. If most of your sentence is highlighted, ask yourself if you need to use direct quotes or paraphrase it. Once you determine that you are okay with the score then submit the draft to the final submission link for grading. You may submit your assessment to the draft area as many times as you wish, but only once to the final link.
If you have submitted a paper that you used in a previous course, your similarity report may be high, please let the professor know when you are using your own previous work. According to Capella�s policy, you may reuse your own previous work; however, please make sure that your assessment matches the grading assessment rubric. Often, recycled assessments do not match.
According to policy, I am to assign a �non-performance� for all criteria in the scoring guide and request that you address the issue before submitting your next assessment. In addition, here is a Capella resource that may be helpful:
https://campus.capella.edu/web/writing-center/sources-and-evidence/quoting
Please let me know if you can see the SafeAssign results. While unintentional, continued high similarity matches may result in an Academic Honesty form submission to the school. Please see this as a learning opportunity for future assessments! I wish for your continued success and would like to discuss these results with you.
Here is another fantastic resource that can be used to assist with paraphrasing: Excellent Website for Paraphrasing
https://writing.wiscweb.wisc.edu/wp-content/uploads/sites/535/2018/07/Acknowledging_Sources
Once the SafeAssign score is acceptable (at least less than 50%), and the remediation is complete. I will be happy to evaluate it.
Sincerely, Dr. Stayner
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