Quality and Safety Case Studies

For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Resources and instructions

Quality and Safety Case Studies

Consider reviewing the following case studies as you complete your assessment:

• Institute for Healthcare Improvement. (n.d.). One dose, fifty pills (AHRQ). Retrieved from http://www.ihi.org/education/IHIOpenSchool/resourc…
• Institute for Healthcare Improvement. (n.d.). Josie King – What happened to Josie? ;[Video]. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resourc…

• IDENTIFYING SAFETY RISKS AND SOLUTIONS

  Click the linked title above, Identifying Safety Risks and Solutions, to complete this formative activity, which offers an opportunity to review a case study and practice identifying safety risks and possible solutions. These skills will be necessary to complete the Enhancing Quality and Safety assessment successfully. This is for your own practice and self-assessment.

• Collaboration and Leadership

  • Falls, E., & Hensel, D. (2012). Characteristics that perinatal nurse managers desire in new nurse hires. The Journal of Continuing Education in Nursing, 43(4), 182–187.
    • This article may be helpful with identifying ways to coordinate and lead quality and safety measures related to the assessment.
  • McInnes, S., Peters, K., Bonney, A., & Halcomb, E. (2015). An integrative review of facilitators and barriers influencing collaboration and teamwork between general practitioners and nurses working in general practice. Journal of Advanced Nursing, 71(9), 1973–1985.
    • This literature review may be a useful source for evidence and best practices to integrate into your assessment.
  • Strech, S., & Wyatt, D. A. (2013). Partnering to lead change: Nurses’ role in the redesign of health care. AORN Journal: The Official Voice of Perioperative Nursing, 98(3), 260–266.
    • This article examines competencies that may help nurses collaborate more effectively to improve patient outcomes.
    • Scoring guide
    • Explains factors leading to a specific patient-safety risk focusing on medication administration. Makes reference to specific data, evidence, or standards illustrate the safety risk.
    • Introduction
    • Explain factors leading to a specific patient-safety risk
    • Evidence-based and best-practice solutions to improve patient safety related to a specific patient safety risk and reduce costs
    • Explain how nurses can help coordinate care to increase patient safety and reduce costs
    • Identify stakeholders with whom nurses would coordinate to drive safety enhancements

    Communicates using writing that is clear, logical, and professional, with correct grammar and spelling, using error-free, current APA style.