Practice Learning Activity: Patient Safety Improvement Strategies

•Select an error that can occur in a health care setting that could potentially harm a patient.IN HOUSE ACQUIRED INFECTION ALSO KNOWN AS NOSOCOMIALS
Review”How to Use the Fishbone Tool for Root Cause Analysis” (See attached)from the Centers for Medicare & Medicaid Services.
Use the cause and effect diagram template(See attached) to map out the contributing factors and collateral consequences of the error.
Research evidence-based patient safety improvement strategies that have been implemented in similar organizations that accomplish each of the following objectives:
• Prevent the error from resulting in patient harm.
• Detect the error when it occurs.
• Mitigate the amount of harm to the patient.
Submit your cause and effect diagram template with your problem identification paper.
See attached for template
Problem Identification
Nurses analyze the similarities between problem-solving and decision-making strategies and the nursing process in managing clinical and organizational problems.
This assignment provides practice in using problem-solving techniques and correlating these to the plan, do, check, and act (PDCA) model and the nursing process of assessment, (nursing) diagnosis, planning, implementation, and evaluation (ADPIE) model.
Create a 15-slide presentation with detailed speaker notes in which you:
• Identify a problem that is occurring in your chosen setting as it relates to patient safety or patient care improvement.In house acquired infections also known as nosocomials
• Evaluate the environment and choose a problem that needs addressed so that outcomes are improved.Handwashing
• Develop a problem statement.
• Evaluate the influence of contributing factors (e.g., policy, nonchanging environment) on patient care, patient safety, family support, and the health care team.
• Identify the change theory that best assists with solutions to the problem.
• Analyze the collateral consequences of not addressing the problem.
• Recommend on a course of action to solve the problem utilizing the ADPIE model and the PDCA model.

Grading Criteria: Problem Identification
Content: 14 points possible Points possible Points earned
Evaluated the environment and chose a problem that needs addressed so that outcomes are improved. 1
Developed a problem statement. 1
Evaluated the influence of contributing factors (e.g., policy, nonchanging environment), on patient care, patient safety, family support, and the health care team. 3
Identified the change theory that best assists with solutions to the problem. 3
Analyzed the potential collateral consequences, if the problem is not addressed. 3
Recommended a course of action to solve the problem utilizing the nursing process model and the PDCA model. 3
Format: 1 point possible Points possible Points earned
Grammar, spelling, punctuation, APA formatting 1
Total 15