Develop a 3-5 page paper that examines a safety quality issue in a health care
setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the
literature as well as the role of nurses and other stakeholders in addressing the issue.
Health care organizations and professionals strive to create safe environments for patients; however, due to
the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the
largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses.
Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce
medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of
Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn
et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013).
the role of the baccalaureate nurse includes identifying and explaining specific patient risk factors,
incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of
knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses
(QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals
(NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient
You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an
opportunity to review a case study and practice identifying safety risks and possible solutions. We have found
that learners who complete course activities and review resources are more successful with first submissions.
Completing course activities is also a way to demonstrate course engagement. You may also choose to use
the scenario in the activity as the basis for your assessment.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course
competencies and assessment criteria:
Competency 1: Analyze the elements of a successful quality improvement initiative.
Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient safety
risk and reduce costs.
Competency 2: Analyze factors that lead to patient safety risks.
Explain factors leading to a specific patient safety risk.
Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
Explain how nurses can help coordinate care to increase patient safety and reduce costs.
Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements.
Competency 5: Apply professional, scholar
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