Page Paper Identify Question & Answer Guide (With Explanation)
This question focuses on applying theory to practical scenarios.
What This Question Is About
This question relates to page paper identify and requires a structured academic response.
How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
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Original Question
In a 2-3-page paper, identify and describe the findings of the root cause analysis. Identify the stakeholders who would need to be involved in a quality improvement plan that would address the clinical event reviewed. Note: When referring to an organization, remove all identifiers. From the table, identify which type of factor contributed to the clinical event occurrence? What role would each stakeholder play in the implementation of the quality improvement plan? What types of resources will the stakeholders need for the implementation of the quality improvement process to be successful? (Briefly address each of the following aspects in your paper.) Human Capital – Staff Time and Tools: Education materials Assessment tools Technology and support Financial – Budget cost and allocation Stakeholder Consensus THE EVENT – Delayed Treatment 72 y/o female with a history of CHF and CKD stage 1 was seen in the ED for intermittent chest pain and weakness progressing over the past two days. Cardiac enzymes were initially elevated but trending downward. EKG and repeat EKG both showed sinus bradycardia. The patient stated they currently were not experiencing symptoms. CMP showed electrolytes WNL and slightly elevated KFTs. The patient was admitted for observation due to history. While awaiting a bed assignment in the ED, the patient complained to the night nurse that she couldn’t nap because the cardiac monitor kept making loud alarms. The nurse placed the monitor on “comfort care” mode, silencing the alarms. Three hours later, at shift handoff, the outgoing nurse stated that everything was “caught up” and that this patient was awaiting bed assignment, but she “had to go pick up her son.” The incoming night nurse decides to see this patient last due to her being “caught up” awaiting a bed assignment and the arrival of a code-sepsis patient from EMS. The patient was only responsive to painful stimuli and was showing a third-degree heart block on the monitor with severe hypotension and bradypnea with hypoxemia. Rapid response from the ED staff was initiated, and the patient was transcutaneously paced, intubated, and put on a vasopressor and fluids. Care status changed from telemetry monitoring to ICU.
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