Qlt1 Task 2

Superior Essays
Organizational Systems & Quality Leadership Task 2
Healthcare organizations are required by their accrediting agencies to demonstrate methods of investigating sentinel events. Root cause analysis (RCA) is a systematic approach to investigating sentinel events used by institutions accredited by the Joint Commission. Once this process helps to identify the causes of the event and a plan to correct the causes, the failure mode and effects analysis (FMEA) is used to identify and decrease the ways the plan could fail. The task analyses these processes and the professional nurse’s role as a leader in the promotion of quality care.
A. Root Cause Analysis The RCA process is used when errors occur to identify potential prevention strategies. The
…show more content…
The policy changes will outline the use of a checklist that includes a time out component to guide the staff through the process. The checklist will address: verify consent is obtained, all equipment available, IV is patent, reversal agents at bedside, respiratory therapist present, pre-procedure vital signs and assessment criteria. The time out component requires all staff to stop, agree upon and record: time, proper identification of the patient, the intended procedure, and laterality if applicable. Vital signs are obtained every five minutes during and after the procedure until the patient meets defined criteria (Huber & Ogrinc, …show more content…
Incorporating a change model to help guide the management process can help make the change successful. Kurt Lewin’s change model will provide the direction for this scenarios process improvement plan. This model proposes that change within an organization will occur in these stages: unfreezing, change, and refreezing. The first stage of unfreezing involves changing the current method of proceeding into a procedure without adequate communication and preparation to a process of forethought and safety. The staff will be included in the preparation of the new process, the education on its use, why the change is necessary and what it will accomplish. Research on quality improvements with the use of checklist and time-out will be shared with the staff. The second step involves the process of the change. This will be the most difficult stage for the staff and they will require a lot of support with issues and questions that arise. The new process will be outlined on a large education bulletin board on each unit and this will improve the visibility for easy reference. The third stage involves freezing or refreezing the process. In this stage the plan will be evaluated by auditing each occurrence. Management staff are required to audit all procedures and counsel with staff when deviation from the policy occurs. Knowledge and compliance with this policy will be demonstrated yearly

Related Documents

  • Decent Essays

    Glt1 Task 1

    • 630 Words
    • 3 Pages

    TASK1 1. Constituion of Australia 2. It controls the government of Australia 3. Legislative,executive and judicial power 4. Legislative power writes the law 5.…

    • 630 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Jdt1 Task 2

    • 693 Words
    • 3 Pages

    Day 1: Teacher will provide printed, fill in the blank Cornell notes, which include the warm up. For students needing accommodations they may staple the worksheet to their journal page to write on. Students who do not need accommodations may draw lines in their journal to make two columns needed to replicate the Cornell notes. Warm up: Write some of your physical traits. Example: Eye color.…

    • 693 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Glt1 Task 5.1

    • 500 Words
    • 2 Pages

    Homework 5 1. One of the important things that a caregiver must remember is that you cannot shake a baby to make them stop crying. While shaking a baby can lead to many other painful things to the child it can also give the child shaken baby syndrome. As it is stated in the book, caregiver might get frustrated with the child crying, and think shacking it will make it stop but all instead it can lead to this life threatening condition.…

    • 500 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Rlt2 Task 4

    • 869 Words
    • 4 Pages

    The current study was a longitudinal study that assessed data from the Health and Retirement Study (HRS). I chose the HRS data because it includes participants that are over the age of 50 and their health status. Age is generally important to the current study because strokes typically occur in older age (Dries & Hussein, 2015). The HRS study began in 1992 and consisted of 12,652 participants that were eligible for interviews and had a response rate of 81.6% (Health and Retirement Study, 2015). This study surveyed individuals over five separate waves, with the last wave consisting of participants that were born between 1948 and 1953 (Health and Retirement Study, 2015).…

    • 869 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Rlt2 Task 3

    • 122 Words
    • 1 Pages

    Music can form a link between the Child Life Specialist and the patient. The Child Life Specialist selects specific activities and exercises to help the patient improve. As a Child Life Specialist, I would include music into the program for children. Some of the methods used to attain this are singing and listening to music. The main aim is to improve the patient’s capability to function.…

    • 122 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Qst1 Task Assignment

    • 151 Words
    • 1 Pages

    Task assignment is one of the first steps to managing a project is to add the tasks that get your project done. list of tasks can be as simple as a checklist of things that need to get done,with start and finish dates, detailed information of each task and an option to select the team member for that task. Task management where chairman can view and control the team tasks, that provide both verifying and controlling functions for implemented tasks. The continuous monitoring of the task by the task implementer, and possible improvements to the existing task.…

    • 151 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Rlt2 Task 2

    • 1029 Words
    • 5 Pages

    Part 2. Aspect Of The Environment That Promote Safety In order to determine environmental aspect that promote safety, I carried out a one and forty-five minute observation at the Child Development and Education Center at Mt. San Jacinto in room 5 that consisted of toddlers. One environmental aspect that promotes safety that I observed at this child-care facility was security management.…

    • 1029 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Qht1 Task 1

    • 737 Words
    • 3 Pages

    Task 2-1 Step 1 Individuals with disabilities in the Kansas City metro, and everywhere, have varying degrees of need in their everyday lives. To have these needs met, it is vital that they know the advocacy organizations and resources available to them. Several organizations exist in the Kansas City metro that allow individuals with disabilities to live enriched and fulfilled lives through school, home, community, and camp programs. Two of these organizations are The Joshua Center for Neurological Disorders and The Whole Person.…

    • 737 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Glt2 Task 3

    • 563 Words
    • 3 Pages

    When it comes to determining what age a child can understand the difference between right and wrong, I think it is determined by the individual child and the way they were raised. In general, I think a child as young as 6 or 7 can fully understand the difference between right and wrong. However, I do not think at that age they understand the consequences of their actions, therefore they should not be held accountable for their actions. Just because a child knows the difference between right and wrong, I think they lack mens rea. A developing mind is not complete until around age 25.…

    • 563 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Failure Model In Nursing

    • 2663 Words
    • 11 Pages

    This new process would be rolled out on a test unit, in this case the ER, since that is where the adverse event occurred in this scenario. Staff on this unit will all be trained in and implement the new process. Measurement is a critical part of the improvement process. It is important to know if the changes that were made to the process were effective in improving care in similar situations. First you must start by having a measurable goal.…

    • 2663 Words
    • 11 Pages
    Superior Essays
  • Improved Essays

    Lewin’s change model involves the three steps- unfreezing, moving, and refreezing to support change (Yoder- Wise, 2011). The local hospital currently utilizes a functional structure of leadership; therefore, the first step to initiate change must be gaining support and permission to implement a change from upper management. After support and consent has been obtained, the first step in Lewin’s change model, unfreezing may be initiated. Unfreezing. The first step in Lewin’s model of change, unfreezing, takes place when members of an organization begin to note the need for change and begin to prepare for change (Yoder- Wise, 2011).…

    • 1929 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Vineet Nayar extensively followed the change models proposed by Lewin and Kotter. Kurt Lewin developed a three stage model of planned change that discusses how to initiate, manage, and stabilize the change process. The three relevant stages are known as unfreezing in which you create a motivation to change, changing, by implementing your new strategies and structure in place, and refreezing in which you support and maintain your change (Kreitner & Kinicki, 2013). For example in the case study, Vineet implemented the 3 stages of Lewin change model in how he wanted to see change take place and he exhausted several avenues to come up with new innovative ways to be productive and competitive, allow his employees to add more value,…

    • 849 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The clinical nursing phenomenon in the case study is the failure of Justin, the charge nurse to communicate with Cindy when she was clearly not meeting the job expectations. Health care workers plays an important role in patients’ safety as reported by the Institute of Medicine (IOM). With the guidance and recommendations by IOM to improve nurses’ work environment, it is the nurse leader responsibility to act upon those recommendations. The charge nurse or manager duty is to provide consistent day to day feedback and counselling about job performance to staff members to improve the quality of work and to avoid problems that might affect high quality patient care. This is evaluating employee performance which is a part of controlling, the fifth…

    • 706 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Notably, a successful change initiative depends on how employees understand such change. Change of any kind will always encounter some challenge. To attain successful change, change initiators in the within an organisation should understand the change implications, not solely to the organisation but to the concerned employees as well. Seemingly, when the choice of initiating change is made, initiators will be required to state the vision for such practice. Unless such visions are shared with concerned subordinates, it is unlikely that they will accept the practice totally.…

    • 1041 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    It is important that the message be sent loud and clear to all employees within the organization that the change must be attacked with an extreme sense of urgency. It is also important for the top level of the organization to have a realistic plan in implementing change. Many times top level management overestimates how many big changes they can force early on. They also underestimate how hard it is to drive people out of their comfort zones (Kotter, 1996). In order to achieve this management must create a powerful…

    • 1777 Words
    • 8 Pages
    Superior Essays