Week 2 Adverse Events

Instructions:

Read the attached article, ‘Investigating Adverse Events in Long-Term Care Facilities’ (Module 2 reading). Then review the following mini-case study scenario and answer the critical thinking questions.

Deliverables to be uploaded into the drop box

• A PowerPoint presentation with an embedded video of you presenting your information or a voice-over
• PDF of the peer-reviewed article you found to support your operational solution

Mini-Case Study Scenario:

You are the Patient Safety and Quality Coordinator for a long-term care facility. Your facility has recently experienced an increase in adverse events related to falls and medication errors, resulting in resident harm and survey deficiencies. Leadership is prioritizing the improvement of patient safety culture and practices across the facility. You have been asked to draft a brief action plan describing how your facility can investigate and reduce adverse events to improve resident outcomes.

Critical Thinking and Solution Identification:

1. Using 5-Why root cause analysis, identify at least two root causes of the adverse events occurring in your facility (one related to falls, one related to medication errors) and explain why these errors or gaps occur.
2. Describe two specific programmatic or operational changes your facility could implement to reduce adverse events in alignment with patient safety improvement frameworks.
3. Explain how data/information technology could be used to monitor and report progress on your plan to reduce adverse events.
4. Discuss how your plan would help the facility meet applicable accreditation or licensing standards related to patient safety and quality in long-term care.
5. Cite at least one relevant point from the assigned article to justify your proposed approach. Cite the point in APA format within the text of your presentation and as part of a reference page/slide at the end of the presentation.
6. Find a supporting reference to your suggested operational change. The article must be peer-reviewed and from a source ranked on the JANE journal guide (https://jane.biosemantics.org/faq.php). Cite your supporting point in APA format.

Rubric

Critical Thinking Rubric

Critical Thinking Rubric

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Use of 5-Why root cause analysis.

5 to >0.0 pts

Full Marks

0 pts

No Marks

5 pts

This criterion is linked to a Learning Outcome

Description of two programmatic or operational changes.

5 to >0.0 pts

Full Marks

0 pts

No Marks

5 pts

This criterion is linked to a Learning Outcome

Explanation

5 to >0.0 pts

Full Marks

0 pts

No Marks

5 pts

This criterion is linked to a Learning Outcome

Discuss

5 to >0.0 pts

Full Marks

0 pts

No Marks

5 pts

This criterion is linked to a Learning Outcome

Citation

Cite at least one relevant point from the assigned article, APA format.

5 to >0.0 pts

Full Marks

0 pts

No Marks

5 pts

This criterion is linked to a Learning Outcome

Citation from a journal found on the JANE journal guide.

Cite at least one relevant point from the assigned article, APA format.

5 to >0.0 pts

Full Marks

0 pts

No Marks

5 pts