Conduct a root-cause analysis of a quality or safety
issue in a health care setting of your choice and outline a plan to address the issue.
As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role
in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety
improvement plans are created to address sentinel or adverse events such as medication errors, patient falls,
wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a
systematic approach for identifying causes of problems, including process and system-check failures. Once the
causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences.
The baccalaureate nurse’s role as a leader is to create safety improvement plans as well as disseminate vital
information to staff nurses and other health care professionals to protect patients and improve outcomes.
As you prepare for this assessment, it would be an excellent choice to complete the Quality and Safety
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Improvement Plan Knowledge Base activity and to review the various assessment resources, all of which will
help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms
and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities
are not graded and demonstrate course engagement.
Demonstration of Proficiency
Sample Solution
Oppressed Jews during the hour of the Holocaust attempted to legitimize all the terrible violations submitted against them by scrutinizing their God and considering how could a God they accepted to be all-knowing, all great and all-ground-breaking let such a drawn out and excruciating arrangement of occasions happen. Huge numbers of them arrived at the resolution that God is “dead” since He definitely wouldn’t have let something as staggeringly pitiless as the Holocaust happen to His kin. They believed that God was far off and restricted and was not the sort of being who could really mediate with the through and through freedom of people. He can’t meddle with the history that people decide to make, in any case our capacity of decision will just have been a hallucination. God realized that the Holocaust was an occasion bound to occur, because of his omniscience, yet didn’t forestall it, forsaking the Jewish people group to exist on the planet for themselves. As far as misery, wiping out power as an attribute of God permits to people, all the more explicitly Jews, to search for answers in a spot other that God. Some attempted to make it look like disciplines for sins that they have submitted or to show them an exercise, however having them understand that God couldn’t have forestalled the Holocaust and conceivably didn’t make it drops the weight from their shoulders of asking why such an incredible and adoring being would treat them that way, something outside their ability to understand. It empowers people to understand the nearness and limits of the choice they were given, conceivably in any event, reinforcing their relationship with God once they can acquaint themselves with the possibility that God probably won’t be as “almighty” as they once accepted.>
Oppressed Jews during the hour of the Holocaust attempted to legitimize all the terrible violations submitted against them by scrutinizing their God and considering how could a God they accepted to be all-knowing, all great and all-ground-breaking let such a drawn out and excruciating arrangement of occasions happen. Huge numbers of them arrived at the resolution that God is “dead” since He definitely wouldn’t have let something as staggeringly pitiless as the Holocaust happen to His kin. They believed that God was far off and restricted and was not the sort of being who could really mediate with the through and through freedom of people. He can’t meddle with the history that people decide to make, in any case our capacity of decision will just have been a hallucination. God realized that the Holocaust was an occasion bound to occur, because of his omniscience, yet didn’t forestall it, forsaking the Jewish people group to exist on the planet for themselves. As far as misery, wiping out power as an attribute of God permits to people, all the more explicitly Jews, to search for answers in a spot other that God. Some attempted to make it look like disciplines for sins that they have submitted or to show them an exercise, however having them understand that God couldn’t have forestalled the Holocaust and conceivably didn’t make it drops the weight from their shoulders of asking why such an incredible and adoring being would treat them that way, something outside their ability to understand. It empowers people to understand the nearness and limits of the choice they were given, conceivably in any event, reinforcing their relationship with God once they can acquaint themselves with the possibility that God probably won’t be as “almighty” as they once accepted.>
