Root Cause Analysis & Safety Improvement PPT

Root Cause Analysis & Safety Improvement PPT Root Cause Analysis & Safety Improvement PPT Assessment 2: Use the provided Root-Cause Analysis and Improvement Plan template to create a 4–6 page root cause analysis and safety improvement plan. Root Cause Analysis & Safety Improvement PPT Assessment 3: Create 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 . Instructions are detailed in the attached documents. ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS nurs_fpx_4020_assessment_2_instructions_2.docx assessment_2_instructions_2.docx assessment_3_instructions.docx example_assessment_2.docx example_assessme Root Cause Analysis & Safety Improvement PPT. Assessment 2 Instructions (NURS-FPX4020) “Root-Cause Analysis and Safety Improvement Plan” For this assessment, you will use a supplied template to conduct a root-cause analysis of a quality or safety issue in a health care setting of your choice and outline a plan to address the issue. As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. 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. One of the case studies from the previous assessment. . A personal practice experience in which a sentinel event occurred. 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 based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan. Use the Root-Cause Analysis and Improvement Plan Template [DOCX] to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process. Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. • • • • • Analyze the root cause of a patient safety issue or a specific sentinel event in an organization. Apply evidence-based and best-practice strategies to address the safety issue or sentinel event. Create a feasible, evidence-based safety improvement plan. Identify organizational resources that could be leveraged to improve your plan. 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: • Assessment 2 Example [PDF]. Additional Requirements: • Length of submission: Use the provided Root-Cause Analysis and Improvement Plan template to create a 4–6 page root cause analysis and safety improvement plan. A title page is not required but you must include a reference list as per the template. • 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. . 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. • Apply evidence-based and best-practice strategies to address a safety issue or sentinel event. • Create a feasible, evidence-based safety improvement plan. Competency 2: Analyze factors that lead to patient safety risks. • Analyze the root cause of a patient safety issue or a specific sentinel event within an organization. Competency 3: Identify organizational interventions to promote patient safety. • Identify existing organizational resources that could be leveraged to improve a plan. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. • Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style. NURS FPX4020 Capella University Root Cause Analysis & Safety Improvement PPT Root Cause Analysis & Safety Improvement PPT. Assessment 2 Instructions (NURS-FPX4020) “Root-Cause Analysis and Safety Improvement Plan” For this assessment, you will use a supplied template to conduct a root-cause analysis of a quality or safety issue in a health care setting of your choice and outline a plan to address the issue. As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. 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. One of the case studies from the previous assessment. . A personal practice experience in which a sentinel event occurred. 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 based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan. Use the Root-Cause Analysis and Improvement Plan Template [DOCX] to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process. Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. • • • • • Analyze the root cause of a patient safety issue or a specific sentinel event in an organization. Apply evidence-based and best-practice strategies to address the safety issue or sentinel event. Create a feasible, evidence-based safety improvement plan. Identify organizational resources that could be leveraged to improve your plan. 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: • Assessment 2 Example [PDF]. Additional Requirements: • Length of submission: Use the provided Root-Cause Analysis and Improvement Plan template to create a 4–6 page root cause analysis and safety improvement plan. A title page is not required but you must include a reference list as per the template. • 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. 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. • Apply evidence-based and best-practice strategies to address a safety issue or sentinel event. • Create a feasible, evidence-based safety improvement plan. Competency 2: Analyze factors that lead to patient safety risks. • Analyze the root cause of a patient safety issue or a specific sentinel event within an organization. Competency 3: Identify organizational interventions to promote patient safety. • Identify existing organizational resources that could be leveraged to improve a plan. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. • Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style. Assessment 3 Instructions (NURS-FPX4020) “NURS FPX4020 Capella University Root Cause Analysis & Safety Improvement PPT ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Root Cause Analysis & Safety Improvement PPT. Improvement Plan In-Service Presentation” Create 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. 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. • Explain the need for and process to improve safety outcomes related to a specific organizational issue. • Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative. Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs. • List the purpose and goals of an in-service session for nurses. • Explain to the audience their role and importance of making the improvement plan successful. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. • Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement. Reference Patel, S., & Wright, M. (2018). Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic & Neonatal Nursing​, 47(3), s16–s17. Scenario: For this assessment it is suggested you take one of two approaches: 1. Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan, or 2. Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals presented in your chosen context. Root Cause Analysis & Safety Improvement PPT Instructions: The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative. Be sure that your presentation 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. • • • • • List the purpose and goals of an in-service session for nurses. Explain the need for and process to improve safety outcomes related to a specific organizational issue. Explain to the audience their role and importance of making the improvement plan successful. Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative. Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement. There are various ways to structure an in-service session; below is just one example: • • • • • Part 1: Agenda and Outcomes. • Explain to your audience what they are going to learn or do, and what they are expected to take away. Part 2: Safety Improvement Plan. • Give an overview of the current problem, the proposed plan, and what the improvement plan is trying to address. • Explain why it is important for the organization to address the current situation. Part 3: Audience’s Role and Importance. • Discuss how the staff audience will be expected to help implement and drive the improvement plan. • Explain why they are critical to the success of the improvement plan. • Describe how their work could benefit from embracing their role in the plan.NURS FPX4020 Capella University Root Cause Analysis & Safety Improvement PPT Root Cause Analysis & Safety Improvement PPT. Part 4: New Process and Skills Practice. • Explain new processes or skills. • Develop an activity that allows the staff audience to practice and ask questions about these. • In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns. Part 5: Soliciting Feedback. • • Describe how you would solicit feedback from the audience on the improvement plan and the in-service. Explain how you might integrate this feedback for future improvements. Remember to account for activity and discussion time. For tips on developing PowerPoint presentations, refer to: • Guidelines for Effective PowerPoint Presentations [PPTX]. Additional Requirements: • Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be 10–15 slides. • Speaker notes: Speaker notes should reflect what you would actually say if you were delivering the presentation to an audience. Another presenter would be able to use the presentation by following the speaker notes. • APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation. • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old. Running head: ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Root-Cause Analysis and Safety Improvement Plan Joshua Watts NURS-FPX4020 Capella University January 2020 1 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN 2 Root-Cause Analysis Catheter- associated urinary tract infections (CAUTIs) is one of many healthcare acquired infections (HAIs) that is a serious issue in medical facilities. They compromise the safety of patients, increase the costs of care, and increase the length of hospital stay. A rootcause analysis (RCA) will be conducted to determine the exact causes of this crisis. Knowing exactly how to prevent CAUTIs will prevent further complications for both the patient and the medical facility. This will be accomplished through analysis of the root cause with evidencebased practices. Analysis of the Root Cause The RCA is being conducted for the increased numbers of CAUTIs in hospitals and other medical facilities. Urinary catheters are placed when urinary retention is present, during a surgical procedure, or when there is an obstruction within the bladder. Although catheters are very useful and helpful for the patients and staff, but they come with a high risk for infection if not cared for properly or not taken out when no longer needed. Urinary tract infections (UTIs) are the most frequent healthcare acquired infection. According to an article titled “A Case Study of Organizational Risk on Hospital- Acquired Infections” states that, “Forty percent of all HAIs are attracted to UTIs, while 80% of those are associated with an indwelling urinary catheter” (Johnson, S., p. 1, 2018). NURS FPX4020 Capella University Root Cause Analysis & Safety Improvement PPT Root Cause Analysis & Safety Improvement PPT. This is a growing situation that must be identified and find solutions to prevent this infection. Hospitals around the world have noted increased complications such as CAUTIs when patients have a urinary catheter placed. The CDC reports that 1 in 25 patients hospitalized in the United States will have a HAI that is a patient safety risk and adds to the cost of healthcare (Johnson, S., 2018). This problem affects the patient in both morbidity and mortality. The ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN 3 government has implemented more efforts to reduce CAUTIs through the help of the Centers for Medicaid and Medicare quality star ratings to include financial penalties through the Hospital Acquired Condition Reduction Penalty Program (Letica-Kriegel, A., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Perotte, R., 2019). This way, if a patient develops a HAI/ CAUTI, the hospital will have to cover the costs and not the patient’s medical insurance. An RCA for CAUTI events was conducted in an article titled “Identifying the Risk Factors for Catheter- Associated Urinary Tract Infections: A Large Cross-Sectional Study of Six Hospitals”. The findings identified that the most common indications for catheterization were recording inputs and outputs, critical illness, peri-operative status and diuresis (Letica-Kriegel, A., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Perotte, R., 2019). The article further stated that, “The most common contributing factors for CAUTI that were identified by the clinical teams and infection preventionists were comorbidities, lapses in catheter care protocols, active infection, fecal incontinence and duration of IUC” (Letica-Kriegel, A., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Perotte, R., p. 3, 2019). Removing catheters early would have reduced percentages and decrease the chance of a CAUTI developing in a patient. Medical staff not properly adhering to the protocols associated with catheters, improper hygiene and hand washing, and not removing catheters at appropriate times have all attributed to CAUTIs in acute hospital settings. New risk factors have been identified such as female sex, pediatric age and neurological issues can attribute to CAUTIs (Letica-Kriegel, A., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Perotte, R., 2019). Another RCA was conducted in an article titled “Lessons Learned In Establishing A Quality Improvement Project To Reduce Hospital Acquired Infections In the Neonatology Ward at A Referral Hospital In Rwanda” that noted root causes included poor hand hygiene compliance, poor aseptic technique during ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN 4 injection, shortage of disinfecting materials and healthcare works not being knowledgeable HAIs (Gafirimbi, N., Wong, R., Adomako, E., & Kagwiza, J., 2016). Correcting these simple risk factors can cut down on CAUTI rates throughout medical facilities around the world. Improvement Plan with Evidence-Based and Best-Practice Strategies A safety improvement plan can be implemented within acute hospital settings to lower and prevent CAUTIs. Establishing infection control programs to reduce HAIs is the first step. This can be achieved by implementing simple infection control measures such as antibiotic prescription and hand hygiene usage. Hand hygiene is the inexpensive way to prevent infection. Washing hands before entering a patient’s room and afterwards decreases the chances of CAUTIs in patients by 63% … Root Cause Analysis & Safety Improvement PPT Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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