Nursing Experience Adverse Events

Nursing Experience Adverse Events

Prepare an analysis (5-7 pages) of an adverse event or a near miss from your professional nursing experience and outline a QI initiative that would address it.

Adverse event scenario: Patient began having reaction to blood transfusion. Orders for transfusion reaction included epinephrine IM (intramuscular). The bedside nurse administered the Epinephrine intravenously by mistake, not realizing the order said to be administered intramuscular. Patient began to feel physical symptoms such as chest pain from Intravenous epinephrine. EKG showed changes requiring cardiology evaluation to rule out heart attack caused by the epinephrine being administered intravenously.

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Prepare a comprehensive analysis of an adverse event or a near miss from your professional nursing experience that you or a peer experienced. Provide an analysis of the impact of the same type of adverse event or near miss in other facilities. How was it managed, who was involved, and how was it resolved? Be sure to:

• Analyze the implications of the adverse event or near miss for all stakeholders.
• Analyze the sequence of events, missed steps, or protocol deviations related to the adverse event or near miss using a root cause analysis.
• Evaluate QI actions or technologies related to the event that are required to reduce risk and increase patient safety.

O Evaluate how other institutions integrated solutions to prevent these types of events.

O Incorporate relevant metrics of the adverse event or near miss to support need for improvement.

• Outline a QI initiative to prevent a future adverse event or near miss.
• Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards

Nursing Experience Adverse Events

Your assessment should also meet the following requirements:

• Length of submission: A minimum of five but no more than seven double-spaced, typed pages, not including the title page or References section.
• Number of references: Cite a minimum of three sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.
• Resources and citations are formatted according to current APA style

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.

O Analyze the implications of an adverse event or a near miss for all stakeholders.

O Analyze the sequence of events, missed steps, or protocol deviations related to an adverse event or a near miss using a root cause analysis.

Nursing Experience Adverse Events

O Outline a quality improvement initiative to prevent a future adverse event or near miss based on research and evidence-based practices.

• Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.

o          Evaluate and identify quality improvement actions or technologies related to an event that are required to reduce risk and increase patient safety.

• Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.

O Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.