Assessment 2 Instructions: Root-Cause Analysis and Safety

Improvement Plan

For this assessment, you can use a supplied template to conduct a root-cause analysis. The

completed assessment will be a scholarly paper focusing on a quality or safety issue

pertaining to medication administration in a health care setting of your choice as well as a

safety improvement plan.

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.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the

following course competencies and assessment criteria:

 Competency 1: Analyze the elements of a successful quality improvement initiative.

 Apply evidence-based and best-practice strategies to address a safety issue or

sentinel event pertaining to medication administration. ;

 Create a viable, evidence-based safety improvement plan for safe medication

administration.

 

 Competency 2: Analyze factors that lead to patient safety risks.

 Analyze the root cause of a patient safety issue or a specific sentinel event

pertaining to medication administration in an organization.

 

 Competency 3: Identify organizational interventions to promote patient safety.

 Identify existing organizational resources that could be leveraged to improve

a safety improvement plan for safe medication administration.

 Competency 5: Apply professional, scholarly, evidence-based strategies to

communicate in a manner that supports safe and effective patient care.

 Communicate in writing that is clear, logical, and professional, with correct

grammar and spelling, using current APA style.

 

Scenario

 

For this assessment, you may choose from the following options as the subject of a root-

cause analysis and safety improvement plan:

 The readings, case studies, or a personal experience in which a sentinel event

occurred surrounding an issue or concern with medication administration.

Instructions

The purpose of this assessment is to demonstrate your understanding of and ability to

analyze a root cause of a specific safety concern in a health care setting. You will create a

plan to improve the safety of patients related to the concern of medication administration

safety based on the results of your analysis, using the literature and professional best

practices as well as the existing resources at your chosen health care setting to provide a

rationale for your plan.

Use the Root-Cause Analysis and Improvement Plan [DOCX] template to help you to stay

organized and concise. This will guide you step-by-step through the root cause analysis

process.

Additionally, be sure that your plan addresses the following, which corresponds to the

grading criteria in the scoring guide. Please study the scoring guide carefully so you

understand what is needed for a distinguished score.

 Analyze the root cause of a patient safety issue or a specific sentinel event pertaining

to medication administration in an organization.

 Apply evidence-based and best-practice strategies to address the safety issue or

sentinel event pertaining to medication administration.

 Create a feasible, evidence-based safety improvement plan for safe medication

administration.

 Identify organizational resources that could be leveraged to improve your plan for

safe medication administration.

 Communicate in writing that is clear, logical, and professional, with correct grammar

and spelling, using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or

higher rating on the scoring guide would look like but keep in mind that your Assessment 2

will focus on safe medication administration.

 Assessment 2 Example [PDF].

Additional Requirements

 

 Length of submission: Use the provided Root-Cause Analysis and Improvement Plan

template to create a 4 page root cause analysis and safety improvement plan

pertaining to medication administration.

 Number of references: Cite a minimum of 3 sources of scholarly or professional

evidence that support your findings and considerations. Resources should be no

more than 5 years old.

 APA formatting: Format references and citations according to current APA style.