Prioritization Discussion – 2025 Review the following Prioritization Principles videos Prioritization https www youtube com watch v WRElSFt674M Links to an external site Nursing Leadership

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Prioritization Discussion – 2025

 

Review the following Prioritization Principles videos:

  1. Prioritization

https://www.youtube.com/watch?v=WRElSFt674M (Links to an external site.)

  1. Nursing Leadership – ABCDE Principle and Patient Prioritization

https://www.youtube.com/watch?v=hWTKT4Z1ae0 (Links to an external site.)

  1. Nursing Leadership – Efficient Nursing Practice & Delegation

https://www.youtube.com/watch?v=iI4HIZpScPQ (Links to an external site.)

Maslow’s Hierarchy of Needs as it relates to Prioritization

Maslow's Hierarchy of Needs for Nursing

Introduction:

  • Setting priorities is an essential and critical thinking skill.
  • Priority setting is perhaps the most critical skill in good time management, because all actions we take have some type of relative importance.
  • Management of a patient load depends heavily on setting priorities.
  • Generally, the new nurse tends to focus on one problem at a time rather than seeing the whole picture and may have difficulty in priority setting.
  • Through the assessment process, patients help the nurse define their needs, establish interventions, and implement the plan of care. This is where individualized priority-setting between patients and nurses occurs.
  • By necessity some care needs will be delayed in preference to more pressing needs of other patients.
  • Priorities will be influenced by the acuity of the patient’s condition and the acuity of all patient’s assigned to a nurse

Time Management:

  • Three Basic Steps in Time Management
    • Allow time for planning and establish priorities.
    • Complete the highest priority task whenever possible, and finish one task before beginning another.
    • Reprioritize based on the remaining tasks and on new information that may have been received.

Priority ranking of patients:

  • First level patient problem
    • These are threats to a patient’s immediate survival or safety and demand immediate nursing intervention. ABC’s (airway, breathing, circulation).
  • Second level patient problem
    • Concerns such things as mental status change, acute pain, acute urinary elimination, untreated medical problems requiring immediate attention (diabetic needing insulin) abnormal pathology lab results, risks of infection, safety, or security.
  • Third level patient problem
    • Those that do not fit into the above two categories such as monitoring for medication side effects, lack of patient knowledge, longer patient longer-term problems with living activities, etc.
  • No life-threatening problems exist
    • The nurse used both professional judgment and the patient to set priorities and determine planning.
    • This is a continually changing aspect of assessment of patients.

Priority Setting Traps:

“Whatever hits first”

  • This trap occurs when an individual simply responds to things as they happen rather than thinking first and then acting. This is common to new nurses.
  • “Path of least resistance”
    • In this trap the individual makes the assumption that it is easier to do a task by himself or herself and fails to delegate appropriately.
  • “Squeaky wheel”
    • In this trap, the individual falls prey to those who are most vocal about their requests and then feels a need to respond to the time frame imposed by the ““squeaky wheel” rather than his or her own.
  • “Default”
    • The individual feels obligated to take on tasks that no one else has come forward to do.
  • “Inspiration”
    • In this trap, individuals wait until they become “inspired” to accomplish a task. Some tasks will never be inspiring, and the wise time manager recognizes that the only thing that will complete these tasks is hard work and appropriate attention to the matter.

Managing time at work:

  • Being overwhelmed by work and time constraints lead to increased errors, omission of important tasks, and general feelings of stress and ineffectiveness.
  • Time management skills are learned although some people are better at it than others.
  • Disorganization results from poor planning and prioritization.
  • Simple suggestions for time management:
    • Gather all the supplies and equipment that will be needed before starting an activity. Breaking down a job mentally into parts before beginning the activity may help the nurse identify what supplies are needed.
    • Group or “cluster” activities that are in the same location. If you have walked a long distance down a hallway, attempt to do several things there before going back to the nurses station. Another example is a home health nurse, group client visits geographically when possible to minimize travel time.
    • Document your nursing interventions as soon as possible after an activity is completed. Waiting until the end of the workday to complete necessary documentation increases the risk of inaccuracies and incomplete documentation.
    • Strive to end the workday on time. Although this is not always possible, delegating appropriately to others and making sure that the workload goal for any given day is reasonable are two strategies that will help accomplish this goal.
    • Schedule difficult tasks during the period of the day you are most productive and simpler, more routine tasks during less productive times.

Time wasters:

  • Procrastination
    • The three most common reasons for procrastination are:
      • Not wanting to begin
      • Not knowing where to begin
      • Not knowing where to begin, even if you wanted to do, which you don’t.
      • Poor planning
      • Failure to establish goals and objectives
      • Inability to delegate
      • Inability to say no
      • Management by crisis
      • Haste
      • Indecisiveness

Coping with short short-staffing:

  • Prioritize you assignments
  • Organize your workload
  • Be a team player
    • Make a rule that no one can sit until everyone can sit. Pitch in and help others.
  • Use unlicensed personnel wisely
  • Encourage family participation
  • Inform and involve nursing administration
  • Communicate effectively and nicely
  • Take care of yourself
  • Maintain a positive attitude
    • Attitude is everything. If you go into a is challenging situation with a positive attitude you can achieve great results. A negative attitude can bring down the morale and performance of the entire team.

Scenario:

Assume that you are the Charge Nurse of a team with one LPN and one nursing assistant on the 7A-3P shift at an acute care hospital. The three of you are responsible for providing total care to 10 patients. Prioritize the following list of 10 things you need to accomplish this morning. Use a 1 for the first thing you will do and a 10 for the last.

________

Check MAR against the orders

________

Listen to night shift report from 0700-0720

________

Perform walking rounds to assess the night shift report and to introduce yourself to patients.

________

Hang four (4) 0900 IV medications

________

Set up the schedule for breaks and lunch among your team members

________

Give the 0845 pre-op on patient going to surgery at 0900

________

Pass the 0830 breakfast trays

________

Read the charts on new admissions that you are responsible for on the unit

________

Check 0600 blood glucose results for 0730 insulin administration

________

Consult with the interdisciplinary healthcare team to develop and/or revise patient plans of care

Now, create an initial discussion posting that provides the rationale for how your prioritized your day in relation to Maslow’s Hierarchy of Needs. Your initial posting must be completed by Wednesday, 3/17/2021 by 11:59 pm. On another day, you must respond to two of your classmates by Sunday, March 21/2021 by 11:59 pm.

References: 

Hägg-Martinell, A., Hult, H., Henriksson, P., & Kiessling, A. (2020). Nursing Students Learn to Handle Stress and to Prioritize in a Complex Context During Workplace Learning in Acute Internal Medicine Care – An Ethnographic Study. Advances in medical education and practice, 11, 21–30. https://doi.org/10.2147/AMEP.S230476

Toney-Butler TJ, Thayer JM. Nursing Process. [Updated 2020 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. [Figure, Maslow’s Hierarchy of Needs for…] Available from: https://www.ncbi.nlm.nih.gov/books/NBK499937/figure/article-26037.image.f1/

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Questions – 2025 Respond to the following questions in depth using paragraph form Paragraphs must be at least

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Questions – 2025

Respond to the following questions in -depth using paragraph form. Paragraphs must be at least 5-7 sentences. Use 6 peer reviewed references

1.     A negligence action was brought by a mother on behalf of her minor daughter against a hospital. It alleged that when the mother was 13 years of age, the hospital negligently transfused her with Rh-positive blood. The mother’s Rh-negative blood was incompatible with and sensitized by the Rh-positive blood. The mother discovered her condition eight years later during a routine blood screening ordered by her physician in the course of prenatal care. The resulting sensitization of the mother’s blood allegedly caused damage to the fetus, resulting in physical defects and premature birth. Did a patient relationship with the transfusing hospital exist?

2. The plaintiff’s physician received a release of information from the plaintiff to an insurance company following the plaintiff’s application for major medical insurance. The physician released the following information: Enclosed is a summary of Mr. Millsaps’s recent hospitalization. Physically the man has no notable problems; emotionally, the patient is quite mercurial in his moods. He is a strong-willed man obsessed with faults of others in his family, for which there has been no objective basis. He has completely resisted any constructive advice by his wife, family, minister, or myself. The man needs psychiatric help for his severe obsessions and depressions, some of which have suicidal overtones. He is an extremely poor insurance risk. The application for major medical insurance was rejected. Did the physician have a right to release this information to the insurance company?

3.        The defendant was executive director of Planned Parenthood. A second defendant was the physician who served as medical director for Planned Parenthood. Both gave information, instruction, and medical advice to married persons about how to prevent conception. The defendants were arrested and found guilty of violating a statute that forbade the use of contraceptives. They then appealed, contending that the statute as applied violated the Fourteenth Amendment. Does a law forbidding the use of contraceptives invade the zone of privacy in violation of the due process clause of the Fourteenth Amendment?

4.        The New York Legislature passed the New York State Controlled Substances Act of 1971 because of concern about the illegal use of drugs in the state. The act requires that records involving the use of certain prescription drugs be filed by physicians with the New York State Department of Health. These records are kept on computers and include the name and address of patients using the drugs. The concern of the physicians and patients who were plaintiffs was that patients in need of treatment with these drugs would decline treatment for fear of being labeled drug addicts. Was the collection of these records by the state a violation of the patients’ Fourteenth Amendment rights?

Risk management and role of manage care – 2025 The purpose of this assignment is to analyze the role of managed care organizations within health care and risk

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Risk management and role of manage care – 2025

 

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

  1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
  2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
  3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Summary and descriptive Statistics – 2025 There is often the requirement to evaluate descriptive statistics for data within the organization or for

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Summary and descriptive Statistics – 2025

 

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

  1. Measures of Central Tendency: Mean, Median, and Mode
  2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
  3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are not required to submit this assignment to LopesWrite.

AttachmentsHLT-362V-RS5-NationalCancerInstitutedata.xlsx 

health disease – 2025 This assignment must be in APA format The assignment should be in paragraph form

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health disease – 2025

 

  • This assignment must be in APA format. 
  • The assignment should be in paragraph form using complete sentences and avoiding bullet points and numbered list.
  • Use a Level 1 heading to separate your sections (Page 47 of the APA Publication Manual).
  • Title and reference pages do not count toward the total word or page count. 
  • At least one textbook source and two and outside sources must be referenced and cited in the paper.

Essays: (at least 300 words per prompt)

  1. Blood transfusions are sometimes required in healthcare. Based on what you know about blood anatomy discuss why a patient would need a transfusion of PRBC (packed red blood cells), plasma, or platelets. A patient with anemia has a pulse oximetry reading in the high 80’s, would this be an expected finding, explain?
  2. Mike, 29 years old, was admitted to a community hospital three days ago with weakness and hypotension after sustaining a spider bite while hiking in the woods. Mike has a large hematoma on his left arm where he was bite. He has no prior medical history, no drug allergies, and does not take medication. Mike started to experience moderate respiratory distress, and started oozing blood from his IV sites, nose, and catheter. He is mildly jaundice and his skin is cool. His vital signs include a heart rate of 110 beats per minute and regular blood pressure of 92/44, slightly labored respiratory rate of 22 breaths per minute, and a pulse oximetry reading of 91 percent. What would your initial diagnosis be, explain? What diagnostic test would you order and why? What would you expect the diagnostic test to show? What is the treatment option for the diagnosis?
  3. During natural disasters like hurricanes, when the community is living in shelters, why would there be a concern about a tuberculosis outbreak? What circumstances have led to the spread of drug-resistant tuberculosis? Mary, a nurse, skin test was positive for tuberculosis. Does this mean she has tuberculosis? Explain.
  4. Each year many people go to their family physician with a common cold, but think they have the influenza. Based on symptoms how can you tell if you have a common cold or influenza? What are the causes and treatments for Pneumonia? What is the best way to prevent influenza and pneumonia?

UNIT8 REFLECTION – 2025 Unit 8 Discussion Due Tuesday Reflection Please respond to the following questions based upon these

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UNIT8 REFLECTION – 2025

 

Unit 8 Discussion [Due Tuesday]

Reflection

Please respond to the following questions based upon these course objectives:

  1. Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations. (AACNI.1)
  2. Incorporate current and emerging genetic/genomic evidence in providing advanced nursing care to individuals, families, and communities while accounting for patient values and clinical judgment. (AACN I.2)
  3. Compare normal anatomy and physiology to alterations in function and regulation of body organs and systems in response to stressors. (AACN I.1)

Please answer the following questions with supporting examples and full explanations.

  1. For each of the learning objectives, provide an analysis of how the course supported each objective.
  2. Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.

Provide evidence (citations and references) to support your statements and opinions. Responses to these questions are due by Tuesday at 11:59 AM CST.

All references and citations should in APA format.

DO25 – 2025 Your submission must be your original work No more than a combined total

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DO25 – 2025

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Note: The italicized subheadings reference the section titles of the template.

A.   Analyze the context and scope of a SDOH in your community by doing the following:

1.   Describe one SDOH that necessitates a policy change to optimize health in your community.

a.   Provide data from state or local resources to support your description.

2.   Describe three characteristics of the target population affected by the SDOH.

3.   Identify the policy makers who will receive the policy brief (e.g., community group or individuals, including name and title).

4.   Explain why the SDOH requires the policy makers’ attention.

a.   Discuss the current policy for the SDOH in your community if one exists. Or discuss the effect that not having an existing policy for the SDOH has on your community.

b.   Discuss the ethical implications of the current policy or the absence of an existing policy.

5.   Complete the demographics table in the template and provide a scholarly resource for each of the following aspects:

•   demographics associated with the SDOH

•   risk factors associated with the SDOH

•   trending facts associated with the SDOH

Policy Proposal and Implementation Plan

B.   Create a policy proposal and implementation plan by doing the following:

1.   Develop two policy alternatives to address the SDOH described in part A1.
Note: Include supporting evidence.

2.   Explain why one of the policy alternatives from part B1 is preferable over the other alternative.
Note: Include Supporting evidence.

3.   Analyze the potential impact of your proposed policy by doing the following:

a.   Explain how the desired results will optimize health in the community.

b.   Discuss the financial costs and benefits of the proposed policy.

c.   Discuss two ethical implications of the proposed policy on the population.

4.   Describe actual or potential barriers to the implementation of your policy.

5.   Explain what methods of communication you will use to introduce the policy to the policy maker(s) and educate them on the anticipated effectiveness of the proposed policy change on the SDOH in the community.

6.   Describe the potential results of inaction.

Executive Summary

C.   Write an executive summary to begin your policy brief by doing the following:

1.   Summarize the context and scope of the chosen SDOH in your community.

2.   Summarize how your proposed policy will address the SDOH in your community.

3.   Propose a persuasive course of action for the policy makers to address the policy change.

Reflection

D.   Write a reflection statement that includes the following:

1.   Describe how you were a change agent in creating this policy brief.

2.   Discuss the knowledge and skills you need to develop to continue influencing policy development decision-making.

References 

E.   Create a References section for your policy brief using APA style.

F.   Acknowledge sources, using APA-formatted in-text citations, for content that is quoted, paraphrased, or summarized.

G.   Demonstrate professional communication in the content and presentation of your submission.

Assignment 1: Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children – 2025 When seeking to identify a patient s health condition advanced practice nurses can use

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Assignment 1: Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children – 2025

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

To Prepare

  • Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.
  • By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). Note: Please see the “Course Announcements” section of the classroom for your assignments from your Instructor.
  • Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?
  • Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.
  • If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.
    • Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
    • Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

The Assignment

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Include the following:

  • A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.
    • What is its purpose?
    • How is it conducted?
    • What information does it gather?
  • Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

Assignment  Option 1: Adult Assessment Tools or Diagnostic Tests:

1. Rapid Influenza testing in children and adults.

Include following:

  • A description of how the assessment tool or diagnostic test you were assigned is used in health care.
  • What is its purpose?
  • How is it conducted?
  • What information does it gather?
  • Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting. 

PLEASE include all the information in your paper

Discussion: Ethical and Legal Foundations of PMHNP Care – 2025 Advanced practice nursing in all specialties is guided by codes of ethics that put the care rights duty

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Discussion: Ethical and Legal Foundations of PMHNP Care – 2025

 

Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care. 

For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.

To Prepare

  • Select one of the following ethical/legal topics:
    • Autonomy
    • Beneficence
    • Justice
    • Fidelity
    • Veracity
    • Involuntary hospitalization and due process of civil commitment
    • Informed assent/consent and capacity
    • Duty to warn
    • Restraints
    • HIPPA
    • Child and elder abuse reporting
    • Tort law
    • Negligence/malpractice
  • In the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents. 
By Day 3 of Week 2

Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles.

Adverse Event and Near-miss analysis – 2025 Write a comprehensive analysis 5 7 pages of an adverse event or near miss from your nursing

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Adverse Event and Near-miss analysis – 2025

Write a comprehensive analysis (5-7 pages) of an adverse event or near miss from your nursing experience. Integrate research and data on the event to propose a quality improvement (QI) initiative to your current organization.
Health care organizations strive to create a culture of safety. Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. Many errors are attributable to ineffective interprofessional communication.
This assessment’s goal is to address a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities with a quality improvement initiative to prevent future incidents.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses. 
    • Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
    • Analyze the missed steps or protocol deviations related to an adverse event or near miss.
    • Analyze the implications of the adverse event or near miss for all stakeholders.
    • Outline a quality improvement initiative to prevent a similar adverse event or near miss.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures. 
    • Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care. 
    • Communicate analysis and proposed initiative in a professional, effective manner, writing clearly and logically, with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.
  • Instructions
    For this assessment, you will prepare a comprehensive analysis on an adverse event or near miss that you or a peer experienced during your professional nursing career. You will integrate research and data on the event and use this information as the basis for a quality improvement (QI) initiative proposal in your current organization.
    The following points correspond to the grading criteria in the scoring guide. The subbullets under each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your adverse event or near-miss analysis addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels relating to each grading criterion.
  1. Analyze the missed steps or protocol deviations related to an adverse event or near miss.
    • Describe how the event resulted from a patient’s medical management rather than from the underlying condition.
    • Identify and evaluate the missed steps or protocol deviations leading to the event.
    • Explain the extent to which the incident was preventable.
    • Research the impact of the same type of adverse event or near miss in other facilities.
  2. Analyze the implications of the adverse event or near miss for all stakeholders.
    • Evaluate the short- and long-term effects on the stakeholders (patient, family, interprofessional team, facility, community). Analyze each stakeholder’s contribution to the event.
    • Analyze the interprofessional team’s responsibilities and actions. Explain what measures each interprofessional team member should have taken to create a culture of safety.
    • Describe any change to process or protocol implemented after the incident.
  3. Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
    • Analyze the quality improvement technologies put in place to increase patient safety and prevent recurrence of the near miss or adverse event.
    • Determine the appropriateness of the technology application for a specific patient or situation.
    • Research scholarly, evidence-based literature to learn how institutions can integrate solutions to prevent similar events.
  4. Incorporate relevant metrics of the adverse event or near-miss incident to support need for improvement.
    • Identify the salient data associated with the adverse event or near miss that is generated from the facility’s dashboard. 
      • Note: Dashboard means data generated from the information technology platform that provides integrated operational, financial, clinical, and patient safety data for health care management.
    • Analyze what the relevant metrics show.
    • Explain research or data related to the adverse event or near miss that is available outside of your institution. Compare internal data to external data. Use resources such as the Centers for Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality (AHRQ), Institute for Healthcare Improvement (IHI), and the World Health Organization (WHO).
  5. Outline a quality improvement initiative to prevent the recurrence of an adverse event or near miss.
    • Explain, from an evidence-based viewpoint, how your facility now manages or should manage the process or protocol.
    • Evaluate how other institutions addressed similar incidents or events.
    • Analyze QI initiatives developed to prevent similar incidents. Explain why they are successful. Provide evidence of their success.
    • Propose solutions for your selected institution that can be implemented to prevent similar future adverse events or near-miss incidents.
  6. Communicate analysis and proposed initiative in a professional, effective manner, writing content clearly and logically, with correct use of grammar, punctuation, and spelling.
  7. Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.
  8. Example Assessment: You may use the Adverse Event or Near-Miss Analysis Exemplar [PDF] for an idea of what an assessment receiving a proficient or higher evaluation would look like.
    Additional Requirements
  • Submission length: 5–7 typed, double-spaced pages.
  • Font: Times New Roman, 12 points.
  • Number of references: Cite a minimum of 5 current scholarly and/or authoritative sources to support your evaluation, recommendations, and plans. Current literature is defined as no older than 5 years unless it is a seminal work.
  • APA formatting: Citations and references must adhere to APA style and formatting guidelines. Consult these resources for an APA refresher: