NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis – Step-by-Step Guide
The first step before starting to write the NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.
How to Research and Prepare for NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility.
Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis
The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.
How to Write the In-text Citations for NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis
In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.
How to Write the Conclusion for NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis
When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.
How to Format the Reference List for NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456
Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.
An Example NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis Follows:
Adverse Event or Near-Miss Analysis
Implications of an Adverse Event
The occurrence of an adverse event within an organization can have a range of implications for various stakeholders, who typically include patients, healthcare providers, the organization itself, and the broader healthcare system. For patients, the most immediate implication of an adverse event is the potential for harm, which can range from temporary discomfort to long-term disability or even death. Patients may also experience financial burdens due to additional treatments and potential loss of income (Liukka et al., 2020). Healthcare providers involved in an adverse event may face emotional impacts such as guilt, anxiety, and a loss of confidence, which can contribute to burnout. Liukka et al. (2020) further identify the risk of legal consequences, which can affect personal and professional reputation. An adverse event can serve as a learning opportunity, prompting providers to reflect on their practices and engage in professional development to prevent future occurrences.
From an organizational standpoint, adverse events can lead to financial costs associated with litigation, settlements, and increased insurance premiums. There may also be a loss of reputation, which can impact patient volume and revenue. Consequently, Liukka et al. (2020) contend that organizations may need to invest in training and system improvements to prevent recurrence. Organizations can use adverse events to proactively improve patient safety and quality of care without the added burden of managing actual harm to patients. For the broader healthcare system, adverse events can indicate systemic issues that require attention. They can lead to policy changes, increased regulatory oversight, and modifications to clinical guidelines. Adverse events contribute to the body of knowledge that informs best practices and prevention strategies (Liukka et al., 2020).
The analysis assumes that all stakeholders are invested in the outcomes of healthcare delivery. It presumes that adverse events and near misses have emotional, financial, and professional repercussions for healthcare providers. It considers that patients prioritize safety and that these events impact their trust. The analysis is based on the notion that organizations will respond to incidents with policy changes aimed at improvement. It also assumes that the healthcare system at large is capable of and committed to learning from these occurrences to enhance overall patient care and safety practices.
Adverse Event
In a bustling hospital, amid the whirlwind of medical care, a pivotal moment unfolded involving a nursing student on a clinical rotation. The incident centered on a medication error during the administration of a patient’s treatment. It began with the admission of a new patient diagnosed with pneumonia. His medical history was intricate, and a complex regimen of medications was prescribed to aid in his recovery. These medications ranged from antibiotics to pain management and anticoagulants, all crucial to his treatment plan. The responsibility of administering these medications fell on the shoulders of a diligent nursing student guided by a seasoned registered nurse (RN). The morning medication round commenced at 9:00 AM, a routine part of hospital care.
However, a crucial step was missed amidst the hustle and bustle of the busy ward. The nursing student inadvertently picked up a medication vial that closely resembled the correct one but was not the prescribed anticoagulant. Without double-checking the label against the medication order, the medication was administered to the patient. It was only moments later that the student realized the grave error. Swiftly, the mistake was reported to the supervising RN, and immediate action was taken to address the situation. Upon reflection, the root cause of this medication error stemmed from the failure to double-check the medication vial label against the medication order before administration—an essential verification step. A breakdown in communication between the nursing student and the RN further compounded the issue. Additionally, the hospital’s medication storage system lacked safeguards to prevent the proximity of similar-looking medications, contributing to the mix-up.
Quality Improvement Actions and Technologies
Several critical quality improvement actions and technologies should be considered to enhance patient safety and reduce the risk of medication errors like the one described in the incident involving a nursing student. These measures aim to create a safer healthcare environment and prevent such errors from occurring in the future. Firstly, the implementation of a Barcode Medication Administration (BCMA) system is paramount. BCMA systems use barcodes to match patient information, medication orders, and medication administration, significantly reducing the likelihood of errors.
Nurses and nursing students would be required to scan both the patient’s wristband and the medication label before administering any medication (Wu et al., 2020). Any discrepancies would trigger alerts, ensuring the correct medication is administered to the right patient. Additionally, revising the hospital’s medication storage system is crucial. Medications with similar appearances should be stored separately or distinctly labeled to minimize the risk of confusion (Gyber et al., 2022). Clear and standardized labeling practices should be adopted throughout the organization to ensure accurate identification.
Robust double-check protocols for medication administration should be implemented, involving a second healthcare provider independently verifying the medication against the medication order before administration. This additional step is a crucial safety net to catch any discrepancies or errors. Effective communication training for healthcare providers, including nursing students, should be emphasized, ensuring that crucial information is relayed accurately and promptly within the healthcare team (Gyber et al., 2022). Establishing a robust error reporting system and a feedback loop to analyze reported incidents and near misses, along with simulation training, can further enhance medication safety.
Continuous Quality Improvement (CQI) teams should be formed to review incidents, near misses, and quality data regularly, identifying trends and areas for improvement. Integrating medication orders and administration records into the electronic health record (EHR) system, improving medication reconciliation processes, and involving patients and their families in the medication administration process are essential steps to enhance overall patient safety (Gyber et al., 2022).
Several key criteria should be considered to assess the effectiveness of the proposed actions and technologies for improving patient safety. Firstly, their ability to reduce medication errors and adverse events should be evaluated, measuring the actual impact on patient safety. Additionally, the level of compliance among healthcare providers with the new protocols and technologies should be monitored. Patient feedback and satisfaction regarding medication safety and their involvement in the process can provide valuable insights. Cost-effectiveness should be assessed, weighing potential savings from avoided errors and litigation costs against implementation expenses. The impact of training on healthcare providers’ skills and confidence, as well as the seamless integration of technologies into existing workflows, should also be analyzed. Finally, the organization’s capacity for continuous improvement based on feedback and incident analysis is a crucial factor in evaluating the overall success of these measures.
Quality Improvement Initiative
The “Medication Safety Enhancement Initiative” is designed to prevent future adverse events related to medication errors and elevate overall patient safety within the healthcare organization. The initiative unfolds in a well-structured process comprising several essential phases:
Phase 1: Assessment and Planning
In this initial phase, the incident analysis takes center stage. A thorough investigation into the recent medication error incident is conducted, focusing on identifying root causes and analyzing contributing factors. Stakeholder engagement becomes pivotal, with healthcare providers, administrators, and patients actively participating in discussions to gain diverse perspectives on medication safety (Laatikainen et al., 2022). Concurrently, data collection efforts are initiated, focusing on gathering information regarding medication error rates, near misses, and patient feedback linked to medication administration.
Phase 2: Development of Action Plan
Building upon the insights gathered in the assessment phase, a comprehensive action plan is formulated. Key elements of this plan include the implementation of a Barcode Medication Administration (BCMA) system to ensure accurate medication administration by matching patient information, medication orders, and administration records (Laatikainen et al., 2022). Additionally, enhancements are made to the medication storage system, preventing look-alike medications from being stored near each other and introducing standardized labeling practices. Clear double-check protocols for medication administration are established, involving a second healthcare provider in verification. Mandatory communication training is conducted for all healthcare providers to foster effective communication and teamwork.
Phase 3: Implementation and Evaluation
With the action plan in place, the organization proceeds with implementation. The BCMA system is introduced, and careful attention is given to seamless integration into the EHR system. Simulation training sessions are launched to provide nursing students and healthcare providers with opportunities to practice medication administration in a controlled environment. Continuous monitoring becomes a priority, with ongoing assessment of medication error rates, compliance with new protocols, and solicitation of patient feedback to gauge the effectiveness of the initiative (Gyber et al., 2022).
Phase 4: Feedback and Improvement
A robust feedback mechanism is established, allowing healthcare providers and patients to report errors, near misses, and suggestions for improvement. A dedicated Continuous Quality Improvement team convenes regularly to review incidents, near misses, and quality data, identifying trends and areas for further enhancement (Vikan et al., 2023).
Phase 5: Ongoing Education and Training
Sustainability is emphasized in this phase, with ongoing education and training programs implemented to ensure that healthcare providers remain up-to-date on best practices in medication safety. Patient engagement continues to be a priority, with patients actively involved in their medication safety and care plans, and their input and feedback are actively sought (Vikan et al., 2023).
Phase 6: Reporting and Communication
Transparency in reporting medication errors and near misses is a cornerstone of the initiative. Lessons learned from incidents are shared openly with the broader healthcare community. Regular communication with stakeholders, including patients, is maintained to update them on the progress and outcomes of the initiative, fostering trust and garnering support (Laatikainen et al., 2022).
Conclusion
Adverse events within healthcare organizations have significant implications for patients, healthcare providers, the organization itself, and the broader healthcare system. These implications encompass emotional, financial, and professional consequences. To address and prevent such events, quality improvement actions and technologies, including Barcode Medication Administration (BCMA) systems, revised medication storage practices, communication training, and robust error reporting mechanisms, play a crucial role. The “Medication Safety Enhancement Initiative” offers a structured approach to enhance medication safety, involving thorough assessment, action planning, implementation, ongoing evaluation, feedback mechanisms, continuous education, and transparent communication. By prioritizing patient safety and continuous improvement, healthcare organizations can mitigate risks and ensure a higher standard of care.
NURS-FPX6016 Assessment 1 Adverse Event or Near-Miss Analysis References
Gyberg, A., Henoch, I., Lepp, M., & Ulin, K. (2022). Framing healthcare professionals in written adverse events: A discourse analysis. Nursing Inquiry, 29(3), e12461. https://doi.org/10.1111/nin.12461
Laatikainen, O., Sneck, S., & Turpeinen, M. (2022). Medication-related adverse events in health care—what have we learned? A narrative overview of the current knowledge. European Journal of Clinical Pharmacology, 11(3), 1-12. https://doi.org/10.1007/s00228-021-03213-x
Liukka, M., Steven, A., Vizcaya Moreno, M. F., Sara-Aho, A. M., Khakurel, J., Pearson, P., & Tella, S. (2020). Action after adverse events in healthcare: An integrative literature review. International Journal of Environmental Research and Public Health, 17(13), 4717. https://doi.org/10.3390/ijerph17134717
Vikan, M., Haugen, A. S., Bjørnnes, A. K., Valeberg, B. T., Deilkås, E. C. T., & Danielsen, S. O. (2023). The association between patient safety culture and adverse events–a scoping review. BMC Health Services Research, 23(1), 1-27. https://doi.org/10.1186/s12913-023-09332-8
Wu, A. W., Shapiro, J., Harrison, R., Scott, S. D., Connors, C., Kenney, L., & Vanhaecht, K. (2020). The impact of adverse events on clinicians: what’s in a name? Journal of Patient Safety, 16(1), 65–72. https://doi.org/10.1097/PTS.0000000000000256
Now that you have reviewed our sample approach to Adverse Event or Near-Miss Analysis, are you ready to take it to the next level? Let us know if you need further assistance or guidance. Meanwhile, once this assessment 1 is done, your next task will be Quality Improvement Initiative Education due in NURS-FPX6016 Assessment 2.
Frequently Asked Questions (FAQs)
When approaching a 500-word essay, it’s essential to understand the nuances of this compact form of writing. These frequently asked questions will guide you through the process of crafting a concise and impactful essay.
How many pages is a 500-word essay typically?
A 500-word essay usually spans about one page if single-spaced or two pages when double-spaced, with standard margins and a 12-point font size.
Can you provide examples of a well-structured 500-word essay?
Certainly, to see the structure and flow of a well-written essay, you might want to take a look at a student’s writing guide that provides insights and examples.
Are there specific formatting guidelines for a 500-word essay?
Formatting guidelines typically involve using a legible font like Times New Roman or Arial, size 12, with double-spacing and one-inch margins on all sides. Check any specific requirements your instructor might have provided.
What are some effective strategies for writing a personal essay of 500 words?
For a personal essay, focus on a singular event or characteristic, ensuring your ideas are clear and you reflect on the significance of the subject matter. Use concise language and powerful imagery to maximize impact.
What topics are suitable for a concise 500-word essay?
Choose topics you can thoroughly address within the word limit, such as a personal anecdote, a critical analysis of a poem, or a focused argument on a singular point or issue.
How much time should you allocate to write a 500-word essay effectively?
Depending on your familiarity with the topic and writing proficiency, allocate anywhere from one to several hours for planning, drafting, and revising to ensure a well-presented essay.
