Assessment 2 Instructions: Root-Cause Analysis and Safety Improvement Plan

Unfortunately, I think you misunderstood this assessment. You wrote about a root-cause analysis of an event that occurred in health care; however, for this assessment you needed to do a root cause analysis on a specific event related to a medication administration error.  

I have also commented on your assessment file.

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COMPETENCY 1

Analyze the elements of a successful quality improvement initiative. 

CRITERION

Apply evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration.

Your result: Basic

Distinguished

Applies evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration, detailing how the strategies will address the safety issue or sentinel event pertaining to medication administration.

Proficient

Applies evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration.

Basic

Describes evidence-based and best-practice strategies but their relevance to the safety issue or sentinel event pertaining to medication administration is unclear.

Non-Performance

Does not describe evidence-based and best-practice strategies pertaining to medication administration.

Faculty Comments:

You provided a good background and information on medication administration errors, but that was not the requirement here. You need to find evidence-based best practice strategies and correlate back to a specific medication administration event that took place. You need to use the evidence-based strategies and explain how they can be addressed in the event you describe. 

CRITERION

Create a viable, evidence-based safety improvement plan for safe medication administration.

Your result: Non-Performance

Distinguished

Creates a viable, evidence-based safety improvement plan for safe medication administration that makes explicit reference to scholarly or professional resources to support the plan.

Proficient

Creates a viable, evidence-based safety improvement plan for safe medication administration.

Basic

Creates a safety improvement plan for safe medication administration that lacks appropriate, convincing evidence of its viability.

Non-Performance

Does not create a viable, evidence-based safety improvement plan for safe medication administration.

Faculty Comments:

You have a great improvement plan, but again it isn't focused on medication administration. . You need to identify new actions that will be undertaken to address the root causes of your identified medication administration event. Then support these recommendations with references from literature. Provide a description of the goals or desired outcomes of these actions. Then give a rough timeline for development and initiation of the plan.

COMPETENCY 2

Analyze factors that lead to patient safety risks.

CRITERION

Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. 

Your result: Non-Performance

Distinguished

Analyzes the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization, noting the degree to which various elements contributed to the safety issue or sentinel event pertaining to medication administration.

Proficient

Analyzes the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.

Basic

Identifies the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.

Non-Performance

Does not identify the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.

Faculty Comments:

I appreciated your analysis using a root cause approach to identify a patient safety issue. In addition, you did well with identifying the various causes that contribute to the issue or concern.  Unfortunately, it was not focused on medication administration. 

COMPETENCY 3

Identify organizational interventions to promote patient safety.

CRITERION

Identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration.

Your result: Non-Performance

Distinguished

Identifies existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration, prioritizing them according to potential impact.

Proficient

Identifies existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration.

Basic

Identifies existing organizational resources, but their relevance and usefulness to quality and safety improvement for safe medication administration are unclear.

Non-Performance

Does not identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration.

Faculty Comments:

Great job identifying existing organizational resources; however, this was not focued on medication administration. 

COMPETENCY 4

Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

CRITERION

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.

Your result: Distinguished

Distinguished

Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar or punctuation, word choice, and free of spelling errors.

Proficient

Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.

Basic

Organizes content with some logical flow and smooth transitions. Contain errors in grammar or punctuation, word choice, and spelling.

Non-Performance

Does not organize content for ideas. Lacks logical flow and smooth transitions.

Faculty Comments:

Very nice logical flow of content. There were no errors in grammar/punctuation. I like that your writing is clear and has good grammar, and punctuation. 

CRITERION

Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Your result: Distinguished

Distinguished

Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.

Proficient

Applies APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Basic

Applies APA formatting to in-text citations, headings and references incorrectly or inconsistently, detracting noticeably from the content. Inconsistently uses headings, quotes or paraphrasing.

Non-Performance

Does not apply APA formatting to headings, in-text citations, and references. Does not use quotes or paraphrase correctly.

Faculty Comments:

BRAVO! There were no significant APA formatting errors noted in the paper. This demonstrates your level of accountability and professionalism. Thank you for all your effort and time. Well done!