Adverse Event or Near Miss Analysis Details Attempt 1Available Attempt 2NotAvailable Attempt 3NotAvailable Toggle Drawer Overview Write a 5–7-page a comprehensive analysis on an adverse event or  near miss from your professional nursing experience. Integrate research  and data on the event and use as a basis to propose a quality  improvement (QI) initiative in your current organization. Health care organizations strive for a culture of safety. Yet  despite technological advances, quality care initiatives, oversight,  ongoing education and training, laws, legislation and regulations,  medical errors continue to occur. 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. Show More Toggle Drawer Context The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience. Toggle Drawer Questions to Consider As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment. Show More Toggle Drawer Resources Required Resources MSN Program Journey The following is a useful map that will guide you as you continue  your MSN program. This map gives you an overview of all the steps  required to prepare for your practicum and to complete your degree. It  also outlines the support that will be available to you along the way. MSN Program Journey | Transcript . Show More Assessment Instructions Preparation Prepare a comprehensive analysis on an adverse event or near-miss  from your professional nursing experience that you or a peer  experienced. Integrate research and data on the event and use as a basis  to propose a Quality Improvement (QI) initiative in your current  organization. Note : Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service. The numbered points below correspond to grading criteria in the  scoring guide. The bullets below 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 that relate to each grading criterion. 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 that led to the event. Discuss the extent to which the incident was preventable. Research the impact of the same type of adverse event or near miss in other facilities. Analyze the implications of the adverse event or near miss for all stakeholders. Evaluate both short-term and long-term effects on the  stakeholders (patient, family, interprofessional team, facility,  community). Analyze how it was managed and who was involved. Analyze the responsibilities and actions of the  interprofessional team. Explain what measures should have been taken and  identify the responsible parties or…

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