Patient Safety and Quality Discussion Paper

Patient Safety and Quality of Services: Explain the history and current state of patient safety and quality of services in healthcare. Assessment Rubric Rubric Criteria Needs Improvement Meets Expectations Exceeds Expectations Executive Board Memo on Organizational Safety and Quality Learning Objective 1.1: Analyze the key objectives and impacts of the IOM reports, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century and their effect on a healthcare organization. The memo does not explain, vaguely or inaccurately explains, or explains fewer than three key objectives and impacts of the IOM reports, To Err Is Human: Patient Safety and Quality Discussion Paper

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Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century. The memo clearly and accurately explains at least three key objectives and impacts of the IOM reports, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century. Or the memo does not explain, vaguely explains, or inaccurately explains how the three key objectives and impacts of the IOM reports, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century affect the selected healthcare organization. Memo clearly and accurately explains the effect of the key objectives and impacts of the IOM reports To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century on the selected healthcare organization. Or the memo does not describe, vaguely or inaccurately describes how the objectives © 2021 Walden University The memo demonstrates the same level of achievement as “Meets,” plus the following: The memo explains a fourth key objective or impact. Or the memo clearly and accurately describes how the objectives and impacts of these important reports might 1 Rubric Criteria Learning Objective 1.2: Describe an adverse event and its effects on key persons involved Patient Safety and Quality Discussion Paper.

Learning Objective 1.3: © 2021 Walden University Needs Improvement and impacts of these important reports might influence the goals, mission, and values of the selected healthcare organization. Memo is not supported or inadequately supported with relevant academic/professional resources. Memo does not describe or vaguely or inaccurately describes an adverse event and its effects on key persons involved. Memo is not supported or inadequately supported with relevant academic/professional resources. Memo does not explain or unclearly explains a systemic failure that allowed the adverse event to occur and/or the Meets Expectations influence the goals, mission, and values of the selected healthcare organization. Exceeds Expectations Memo is adequately supported with relevant academic/professional resources. Memo clearly, thoroughly, and accurately describes an adverse event and its effects on key persons involved including the patient, the patient’s family, healthcare staff, the healthcare organization, and the community and are made relevant to the selected organization. Memo is adequately supported with relevant academic/professional resources. Memo clearly explains a systemic failure that allowed the adverse event to occur – either a breakdown in the The memo demonstrates the same level of achievement as “Meets,” plus the following: Patient Safety and Quality Discussion Paper

Memo describes the impact of the adverse event if any on other healthcare organizations such as insurers, vendors, healthcare technology, information technology companies, and regulators, etc. The memo demonstrates the same level of achievement as “Meets,” plus the following: 2 Rubric Criteria Explain a systemic failure that allowed an adverse event to occur. Learning Objective 1.4: Explain system changes resulting from an adverse event and the outcomes of those changes. Learning Objective 1.5: © 2021 Walden University Needs Improvement Meets Expectations reasoning for how the system system, or a functioning failure allowed the adverse event system that is causing the to occur was weak. problem. The systemic failure is made relevant to the selected organization. Memo is not supported or inadequately supported with Memo is adequately relevant academic/professional resources. supported with relevant academic/professional resources. Memo does not explain or Memo clearly explains vaguely explains system-wide system-wide changes made changes made in response to an in response to an adverse adverse event and the changes event. The changes are made are not made relevant to the relevant to the selected selected organization. organization. Memo does not explain, explains fewer than two, or vaguely explains two positive outcomes achieved as a result of the changes. Memo is not supported or inadequately supported with relevant academic/professional resources Patient Safety and Quality Discussion Paper.

Memo does not describe, vaguely or inaccurately describes how the adverse Memo clearly explains at least two positive outcomes achieved as a result of the changes. Exceeds Expectations Explanation of the system failure extrapolates two additional scenarios of what may happen if systemic changes are not made. The memo demonstrates the same level of achievement as “Meets,” plus the following: Memo explains possible unintended consequences that may result from the system-wide changes. Memo is adequately supported with relevant academic/professional resources. Memo clearly and accurately describes how the adverse event, related systemic The memo demonstrates the same level of 3 Rubric Criteria Explain how an adverse event, the related systemic failure, and the resulting changes affect operational procedures at a healthcare organization. Learning Objective 1.6: Identify patient safety goals. Learning Objective 1.7: Describe two organizations associated with the area of patient safety. © 2021 Walden University Needs Improvement event, related systemic failure and the resulting changes affect operational procedures at a healthcare organization. Meets Expectations failure, and the resulting changes affect operational procedures at a healthcare organization. Memo is not supported or inadequately supported with relevant academic/professional resources. Memo does not identify, identifies fewer than two, or vaguely or inaccurately identifies the patient safety goals of the selected healthcare organization. Memo is adequately supported with relevant academic/professional resources. Memo clearly and accurately identifies at least two patient safety goals of the selected healthcare organization. Memo does not describe, describes fewer than two, or insufficiently or inaccurately describes two organizations associated with the area of patient safety. Memo sufficiently and accurately describes at least two organizations associated with the area of patient safety including their mission, purpose, and values. Exceeds Expectations achievement as “Meets,” plus the following: Patient Safety and Quality Discussion Paper

Memo explains how the changes in operational procedures impact patients, staff, and vendors. The memo demonstrates the same level of achievement as “Meets,” plus the following: Memo identifies more than two patient safety goals. The memo demonstrates the same level of achievement as “Meets,” plus the following: Memo does not describe or vaguely describes the mission, purpose, and values of the two organizations. Memo describes at least one example of how a healthcare administrator Memo applies the resources of the two organizations to the might utilize the selected healthcare organizations described to organization. enhance patient safety. Memo does not apply the resources of the two Memo is adequately supported with relevant 4 Rubric Criteria Learning Objective 1.8: Explain how resources of two organizations associated with patient safety can be used to achieve a healthcare organization’s safety goals. Learning Objective 1.9: Identify risks to healthcare organizational staff as second victims when medical errors occur. © 2021 Walden University Needs Improvement organizations to the selected healthcare organization. Memo is not supported or inadequately supported with relevant academic/professional resources. Memo does not explain or unclearly or inaccurately explains or explains the how a resource of fewer than two organizations associated with patient safety can be used to achieve the selected healthcare organization’s safety goals. Memo is not supported or inadequately supported with relevant academic/professional resources. Memo does not identify, identifies fewer than two or vaguely or inaccurately identifies two risks to medical, clinical, and other healthcare organizational staff as second victims when medical errors occur. Memo is not supported or inadequately supported with Meets Expectations academic/professional resources. Memo clearly and accurately explains how a resource of two organizations associated with patient safety can be used to achieve the selected healthcare organization’s safety goals. Exceeds Expectations The memo demonstrates the same level of achievement as “Meets,” plus the following: Memo explains how more than one resource from each of the two Memo is adequately organizations associated supported with relevant with patient safety can be academic/professional used to achieve a resources. healthcare organization’s safety goals. Memo clearly and accurately The memo demonstrates identifies at least two risks to the same level of medical, clinical, and other achievement as “Meets,” healthcare organizational staff plus the following: as second victims when medical errors occur. Memo identifies more than two risks. Memo is adequately supported with relevant 5 Rubric Criteria Learning Objective 1.10: Recommend strategies healthcare organizations can implement to assist internal stakeholders to cope when medical errors do occur Patient Safety and Quality Discussion Paper.

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Needs Improvement relevant academic/professional resources. Memo does not recommend, recommends fewer than two, or recommends illogical, unspecific, or ineffective strategies healthcare organizations can implement to assist internal stakeholders to cope when medical errors do occur. Memo is not supported or inadequately supported with relevant academic/professional resources. Learning Objective 1.11: Memo does not explain, explains pros or cons but not both, or vaguely or inaccurately explains Evaluate the statement the pros and cons of the “those who make errors statement “those who make that harm patients are errors that harm patients are themselves victims”. themselves victims”. Memo does explain, explains pros or cons but not both, or vaguely or inaccurately explains the pros and cons of the statement in relation to the industry as a whole and the © 2021 Walden University Meets Expectations academic/professional resources. Memo recommends at least two logical, specific, and effective strategies healthcare organizations can implement to assist internal stakeholders to cope when medical errors do occur. Memo is adequately supported with relevant academic/professional resources Patient Safety and Quality Discussion Paper