BHA4004 Patient Safety

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BHA4004
Week 2 Assignment: Address a Patient Safety Issue
Introduction
Alarming numbers of unnecessary patient deaths occur in U.S. hospitals and around the
world. “Quality and patient safety in health care have been on the forefront of the public’s
mind since the publication of the Institute of Medicine’s (IOM) seminal report, ‘To Err Is
Human,’ in 1999” (Johnson, et al., 2016, p. xv). The literature supports revising systems and
processes in an effort to narrow the difficult safety and quality gaps. Worldwide, issues of
patient safety and patient-centered quality care drive health care reform. Current
approaches are not adequate; patients remain at risk for needless harm.
Demonstrating a firm understanding of the various components of patient safety is
fundamental to understanding health care quality, risk management, and patient safety
overall.
For this first assignment, you will assume the role of a patient safety officer at your local
hospital. You will analyze a patient safety issue that occurred and then prepare a 5–7 page
recommendation for senior leaders about why it is important to address the issue, along
with your recommendations about how to address it. You will also need to detail the role
you, as the patient safety officer, will play in helping the organization resolve the issue.
Preparation
To successfully complete this assignment:
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•
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Select one of the three scenarios from the Vila Health: Patient Safety simulation
that interests you the most for further analysis in your assignment:
o Scenario 1: Patient Identification Error.
o Scenario 2: Medication Error.
o Scenario 3: HIPAA/Privacy Violation.
Consult the readings provided in Week 1.
Review the Address a Patient Safety Issue Template [DOC] Download Address a
Patient Safety Issue Template [DOC]which you will use to complete this
assignment. This document is formatted and has space for completing all
components of the assignment.
Instructions
For the scenario you selected, use the Address a Patient Safety Issue Template
[DOC] Download Address a Patient Safety Issue Template [DOC]to write a 5–7-page
recommendation for leadership that describes the safety threat, the importance of
addressing the threat, and your recommendations for resolving it. Be sure to include all of
the following in your paper and to address all of the points:
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•
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Apply the health care safety imperative to a patient safety issue.
o Identify the issue you selected from the Vila Health simulation as the
potential safety threat.
o Describe the issue that occurred with sufficient detail so that
leadership has a clear understanding of what happened.
o Identify the implications of not addressing threat.
Evaluate the risk to the patients, employees, and organization, if patient safety
threats are not addressed.
o What does the health care safety imperative say about the issue?
o How does the health care safety imperative apply in this case?
o Which regulatory agencies have oversight about the issue?
Analyze regulatory agencies’ role and impact on organizations’ patient safety
programs.
o What specifically do the regulations state about the issue? For
example, you might consider the Joint Commission’s NPSGs.
o What impact do regulatory agencies have on organizations’ patient
safety programs?
o How do health care organizations incorporate regulatory agencies’
guidance when establishing reporting and investigation best
practices?
o What are the potential consequences to the patients, employees, and
organization, if the hospital fails to correct the threat?
Analyze the patient safety officer’s role in implementing patient safety plans.
o Explain the role patient safety officers assume in implementing
patient safety plans in health care organizations.
o Clarify your responsibility and role as the patient safety officer in this
specific instance.
o Provide one example from the literature to illustrate your points.
Recommend evidence-based best practice tools and techniques to reduce or
eliminate patient safety threats.
o Describe your five-point plan to reduce or eliminate this patient
safety threat.
▪ What best practice tools or techniques does your plan
include to reduce or eliminate these types of errors?
Consider processes for responding, rounding, detecting,
incident reporting, operational considerations, et cetera.
In a health care professional setting, recommendations to leadership would typically not be
in APA format. However, your paper does need to conform to current APA format and style
guidelines. It does need to be clear, persuasive, organized, and well written without
spelling, grammar, and/or punctuation errors. In addition, recommendations you write in a
professional setting would be single-spaced. For the purpose of this assignment, however,
please use double-spacing. See the APA ModuleLinks to an external site. for more
information about APA style.
Also, health care is an evidence-based field. Your senior leaders will want to know the
sources of your information, so be sure to include at least two peer-reviewed sources. You
may use the suggested resources for this assignment. Your citations and references do need
to conform to current APA guidelines.
Please review the Addressing a Patient Safety Issue Scoring Guide to ensure you
understand the grading requirements for this assignment.
Additional Requirements (please be sure to includes
all)
Your assignment should also meet the following requirements:
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Template: Use the Address a Patient Safety Issue Template [DOC] Download
Address a Patient Safety Issue Template [DOC]to complete this assignment.
Length: 5–7 double-spaced pages, excluding title and reference pages.
Font and font size: Times New Roman, 12 point.
APA format: Your submission, including the body, citations, and title and
references pages need to conform to current APA format and style guidelines. Do
make sure that it is clear, persuasive, organized, and well written, without
grammatical, punctuation, or spelling errors. You also must cite your sources
according to current APA guidelines.
Reference
Johnson, J. K., Haskell, H. W., & Barach, P. R. (2016). Case studies in patient safety. Jones &
Bartlett Learning.
Competencies Measured
By successfully completing this assignment, you will demonstrate your proficiency in the
following course competencies and scoring guide criteria:
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•
•
Competency 1: Analyze the quality and performance improvement activities
within the health care organization.
o Recommend evidence-based best practice tools and techniques to
reduce or eliminate patient safety threats.
Competency 3: Analyze the importance of patient safety in health care.
o Apply the health care safety imperative to a patient safety issue.
o Evaluate the risk to patients, employees, and the organization if
patient safety threats are not addressed.
o Analyze regulatory agencies’ role and impact on organizations’
patient safety programs.
Competency 4: Apply leadership strategies to quality improvement in a health
care organization.
Analyze the patient safety officer’s role in implementing patient safety
plans.
Competency 5: Communicate in a manner that is scholarly, professional, and
respectful of the diversity, dignity, and integrity of others and is consistent with
the expectations for health care professionals.
o Use correct grammar, punctuation, and mechanics as expected of an
undergraduate learner.
o Writing adheres to APA formatting rules and APA writing style with
few or minor errors.
o
•
View Rubric
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
Apply the health care safety imperative to a patient safety issue.
view longer description
32 to >27.2 pts
Distinguished
Applies the health
care safety
imperative to a
patient safety
issue. Includes
multiple
examples,
specifics, and
references to the
professional
literature.
27.2 to >22.4 pts
Proficient
Applies the health
care safety
imperative to a
patient safety
issue.
22.4 to >0 pts
Basic
Attempts to apply
the health care
safety imperative
to a patient safety
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
issue; however,
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to apply the
health care safety
imperative to a
patient safety
issue.
Evaluate the risk to patients, employees, and the organization if patient
safety threats are not addressed.
view longer description
32 to >27.2 pts
Distinguished
Provides a
comprehensive
evaluation of the
risk to patients,
employees, and
the organization
if patient safety
threats are not
addressed.
Includes multiple
examples,
specifics, and
references to the
professional
literature.
27.2 to >22.4 pts
Proficient
Evaluates the risk
to patients,
employees, and
the organization
if patient safety
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
threats are not
addressed.
22.4 to >0 pts
Basic
Attempts to
evaluate the risk
to patients,
employees, and
the organization
if patient safety
threats are not
addressed;
however,
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to evaluate the
risk to patients,
employees, and
the organization
if patient safety
threats are not
addressed.
Analyze regulatory agencies’ role and impact on organizations’ patient
safety programs.
view longer description
32 to >27.2 pts
Distinguished
Analyzes
regulatory
agencies’ role and
impact on
organizations’
patient safety
programs.
Includes multiple
examples,
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
specifics, and
references to the
professional
literature.
27.2 to >22.4 pts
Proficient
Analyzes
regulatory
agencies’ role and
impact on
organizations’
patient safety
programs.
22.4 to >0 pts
Basic
Attempts to
analyze
regulatory
agencies’ role and
impact on
organizations’
patient safety
programs;
however,
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to analyze
regulatory
agencies’ role and
impact on
organizations’
patient safety
programs.
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
Analyze the patient safety officer’s role in implementing patient safety
plans.
view longer description
32 to >27.2 pts
Distinguished
Analyzes the
patient safety
officer’s role in
implementing
patient safety
plans. Includes
multiple
examples,
specifics, and
references to the
professional
literature.
27.2 to >22.4 pts
Proficient
Analyzes the
patient safety
officer’s role in
implementing
patient safety
plans.
22.4 to >0 pts
Basic
Attempts to
analyze the
patient safety
officer’s role in
implementing
patient safety
plans; however,
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to analyze the
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
patient safety
officer’s role in
implementing
patient safety
plans.
Recommend evidence-based best practice tools and techniques to reduce or
eliminate patient safety threats.
view longer description
32 to >27.2 pts
Distinguished
Recommends
evidence-based
best practice
tools and
techniques to
reduce or
eliminate patient
safety threats.
Ensures the
recommendations
are appropriate
and
comprehensive
and include
multiple
examples,
specifics, and
references to the
professional
literature.
27.2 to >22.4 pts
Proficient
Recommends
evidence-based
best practice
tools and
techniques to
reduce or
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
eliminate patient
safety threats.
22.4 to >0 pts
Basic
Attempts to
recommend
evidence-based
best practice
tools and
techniques to
reduce or
eliminate patient
safety threats;
however,
recommendations
are not always
evidence-based
or appropriate.
Omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to recommend
evidence-based
best practice
tools and
techniques to
reduce or
eliminate patient
safety threats.
Use correct grammar, punctuation, and mechanics as expected of an
undergraduate learner.
view longer description
20 to >17 pts
Distinguished
Uses correct
grammar,
punctuation, and
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
mechanics
beyond what is
expected of an
undergraduate
learner.
17 to >14 pts
Proficient
Uses correct
grammar,
punctuation, and
mechanics as
expected of an
undergraduate
learner.
14 to >0 pts
Basic
Uses correct
grammar,
punctuation, and
mechanics as
expected of an
undergraduate
learner, but with
some errors and
lapses.
0 pts
Non-Performance
Does not use
correct grammar,
punctuation, and
mechanics as
expected of an
undergraduate
learner.
Writing adheres to APA formatting rules and APA writing style with few or
minor errors.
20 to >17 pts
Distinguished
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
[u02a1] Week 2 Assignment: Address a Patient Safety Issue
Criteria
Ratings
view longer description
Writing is
exemplary,
exhibiting strict
and nearly
flawless
adherence to APA
formatting rules
and APA writing
style.
17 to >14 pts
Proficient
Writing adheres
to APA formatting
rules and APA
writing style with
few or minor
errors.
14 to >0 pts
Basic
Writing reflects
inconsistent use
of APA formatting
and APA writing
style.
0 pts
Non-Performance
Writing does not
adhere to APA
formatting and
APA writing style.
Total Points: 0
BHA4006
Week 2 Assignment: Reflective Journal
Instructions
Topic: Health Care Fraud and the Law
Provide a synopsis of three laws that relate to health care fraud and abuse and include one
example of an actual case within the health care industry in which one of the laws was
violated. Your weekly readings can help you identify the relevant laws.
Include one scholarly reference in your post. Use current APA 7th Edition Example Paper
[DOCX] Download APA 7th Edition Example Paper [DOCX] for the APA style and
formatting appropriate to the type of reference you provide.
Reflective Journal Guidelines
Use the APA Reflective Journal Template [DOCX] Download APA Reflective Journal
Template [DOCX]to write your response. Provide an introductory paragraph under the title
heading. Give a brief explanation of the topic background (one paragraph minimum),
followed by any implications, examples, and solutions you find to be relevant to the topic.
End your response with a summary of your findings.
Competencies Measured
By successfully completing this assignment, you will demonstrate your proficiency in the
following course competencies and scoring guide criteria:
•
•
•
Competency 1: Analyze health care laws and regulations from a local, state, and
federal level.
o Classify laws that relate to health care fraud and abuse.
Competency 4: Explain how governing body and regulatory agency standards
exercise oversight authority within a health care organizational setting.
o Summarize an actual case within the health care industry in which
one of the laws was violated.
Competency 5: Communicate in a manner that is scholarly, professional, and
respectful of the diversity, dignity, and integrity of others and is consistent with
the expectations for health care professionals.
o Generate an APA formatted paper using the “Reflective Journal” div to
write your response.
View Rubric
[u02a1] Reflective Journal
[u02a1] Reflective Journal
Criteria
Ratings
Classify laws that relate to health care fraud and abuse.
view longer description
12.5 pts
DEMONSTRATED
YES
0 pts
NOT
DEMONSTRATED
NO
Summarize an actual case within the health care industry in which one of
the laws was violated.
view longer description
12.5 pts
DEMONSTRATED
YES
0 pts
NOT
DEMONSTRATED
NO
Generate an APA formatted paper using the “Reflective Journal” template to
write your response.
view longer description
25 pts
DEMONSTRATED
YES
0 pts
NOT
DEMONSTRATED
NO
Total Points: 0