NURS FPX 6016 Assement 01: Adverse Event or Near-Miss Analysis

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Adverse Event or Near-Miss Analysis

The health service has always been the most important aspect of preventive medicine. With significant advance in technology, healthcare providers of all specialties use quality improvement projects intently and yet there remains a prevalence of medical mistakes, which pose another threat to patients’ safety and well-being (Smith et al., 2020). Among what can be an endless list of reasons for these medical mistakes, mainwhichever among these is the inability of interprofessional communication stands outs as a fundamental problem. This opening enables a detailed study of one occurrence of an adverse event or close call in healthcare, it is a vivid example which relies on personal nursing experiences. NURS FPX 6016 Assement 01: Adverse Event or Near-Miss Analysis: This examination will closely look at a specific adverse event or not a far story resulted from nursing practice, delivering a thorough appraisal of its implication, root, and possible QI amendment. Key figure/indicatos and evidence-based findings are included to support the design of strategies directed at improving the level of patient safety using optimizing the delivery of treatment courses.

Implications of the Adverse Event for Stakeholders

Studying how all industry members involved with an adverse incident or a miss solve it requires strong comprehension of how each of the party roles affected the occurrence. Patients and families are the final recipients of healthcare services, and these changes have both immediate and long-term impact on their care. They might soon start suffering from increased levels of anxiety, lack of trust towards healthcare providers and the fear of their future quality of life (Jones & Smith 2021). The foundation of this analysis includes the conviction the patients and families of patients prioritize the provision of good and efficient care and the trust in the healthcare professionals who put the health and well-being of their patients at heart (Brown et al., 2019). In addition, long-term effects of such stress can involve ongoing problems such as fear of entering into healthcare system for diagnosis or treatment and as a result, it can impact the lives and perception of the entire healthcare system.

The multi-professional team, which is a part of a health care centre and which consists of nurses, physicians and other health care professionals , as well, faces the similar feelings when a error or a near miss occured. The possible short-term outcomes would be the team members who handled the situation experiencing things like guilt, stress, and inadequacy (Smith & Johnson, 2022). Such feelings life frustration, anger, guilt and depression stem from the conviction that nurses are meant to provide top-quality care and may break down when some errors occur. NURS FPX 6016 Assement 01: Adverse Event or Near-Miss Analysis: The possible consequences in the long run may take the form of low morale, exhaustion, or occupational consequences which may detrimentally affect the harmony and effectiveness of the healthcare team.

NURS FPX 6016 Assement 01: Adverse Event with Root Cause Analysis

Causality is the bread and butter of verification of process deviations, errors, and near misses. In this, one has to conduct a deep analysis of all the steps, protocols, sequences or skips of protocols putatively related to an adverse reciprocal event. The focus of this analysis should be to meticulously dissect (root cause analysis) the sequence of events and the series of actions and circumstances that To start, it is imperative to pinpoint the initial sources or stimuli that preexisted before the event. In this case, it may be about the type of patients and their particulars, such as their age, gender, and experiences (Jones & Smith, 2021). In addition to the presenting symptoms, other contributing characteristics to be included may be staffing levels, availability of equipment, and anything else the caregivers may find relevant.

Aligning to this, adding a specific one of the key elements of the diagram is event time which is determinant of the the sequence of events. It is imperative to remember that the healthcare provider had an active role in the scenario including responding to the patient’s story and any other occurrence (Brown et al., 2019). The fact that every event is carefully scrutinized can reveal shortcomings, misteps, and even lapses of judgment in the application of existing protocols and practices. The evaluation can tackle flaws like communication breakdown, inadequate training, limited personnel, equipment malfunctions and issues within the health organization (Garcia et al., 2019). NURS FPX 6016 Assement 01: Adverse Event or Near-Miss Analysis: Besides that, assessing patient outcomes and comparing them to the standard of care for each deviation will help categorize the severity of the adverse event that could be also a quality concern in safety issues of patients.

Evaluation of Quality Improvement Technologies Related to the Event

Formulation of strategies to reduce the risks of errors and improve patient safety involves assessment of activities and processes that stop from the occurrence of adverse events and near misses. Here’s how you might approach this section of the analysis:Here’s how you might approach this section of the analysis:

NURS FPX 6016 Assement 01: Quality Improvement Actions or Technologies:

Implementing the use of barcode medication administration systems (BCMA) will help in error reduction, as the patient’s identity and the accuracy of the medication administered will be verified (Smith & Johnson 2022). Electronic health record (EHR) systems with inbuilt communication features play the part of a speed-fOD protocol through which quick communication among healthcare team members takes place and misinformation and errors are reduced (Brown et al., 2019). NURS FPX 6016 Assement 01: Adverse Event or Near-Miss Analysis: The option of deploying continuous monitoring systems of vital signs and clinical status enables early detection of impending patient deterioration. Consequently, this intervention improves upon hospital care and reduces the prevalence of adverse events such as cardiac arrests and sepsis (Garcia et al.,2019). Giving CDSS the unique ID of EHR platforms facilitates the clinician’s access to evidence based guidelines and warnings along the lines of medication dosing, diagnostic testing and treatment options that reduce the risk of errors and adverse effects (Jones & Smith, 2021). Transforming the interprofessional training through team training and simulation exercises will perfect patients’ safety in highly stressful environments; thus, the care providers will have increased teamwork, communication, and situational awareness.