Address a Patient Safety Issue

Write a 5-7 page recommendation to senior leadership about steps the organization needs to take to resolve a patient safety issue that occurred. Include an explanation of why it is important to address the issue and the role the patient safety officer will play in helping to resolve the issue.

APA Format

SCORING GUIDE MY FOLLOW DISTINGUISHED CATEGORY TO THE LETTER

RESOURCES:

• Agency for Healthcare Research and Quality. (2017). About the national quality strategy. Retrieved from http://www.ahrq.gov/workingforquality/about/index….
• Allen, G. (2015). Infection prevention: A patient safety imperative for the perioperative setting. AORN Journal, 101(5), 508–510.
• Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27(3), 759–769.
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• Health Care Administration Undergraduate Library Research Guide.
• Institute for Healthcare Improvement. (2018). IHI triple aim initiative. Retrieved from http://www.ihi.org/Engage/Initiatives/TripleAim/Pa…
• Kemper, C., Blackburn, C., Doyle, J. A., & Hyman, D. (2013). Engaging patients and families in system-level improvement: A safety imperative. Nursing Administration Quarterly, 37(3), 203–215.
• Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (1999). To err is human: Building a safer health system. Washington, DC: National Academy Press.
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• Joint Commission. (2018). 2018 national patient safety goals. Retrieved from https://www.jointcommission.org/standards_informat…

• Lindstrom, R. L. (2013). Dialogue between physicians, regulatory oversight agencies critical to patient safety. Ocular Surgery News, 31(17), 3.
• Wickersham, M. E., & Basey, S. (2016). Is accreditation sufficient? A case study and argument for transparency when government regulatory authority is delegated. Journal of Health and Human Services Administration, 39(2), 245–282.

Agency for Healthcare Research and Quality. (n.d.). TeamSTEPPS: Team strategies & tools to enhance performance & patient safety. Retrieved from https://www.ahrq.gov/teamstepps/index.html

• Arabi, Y. M., Al Owais, S. M., Al-Attas, K., Alamry, A., Alzahrani, K., Baig, B., … Taher, S. (2016). Learning from defects using a comprehensive management system for incident reports in critical care. Anaesthesia & Intensive Care, 44(2), 210–220.
• Howell, A., Burns, E. M., Bouras, G., Donaldson, L. J., Athanasiou, T., & Darzi, A. (2015). Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. PloS ONE, 10(12), 1–15.

• American Society of Health-System Pharmacists. (2014). ASHP statement on the role of the medication safety leader. Best Practices for Hospital & Health-System Pharmacy, pp. 207–210.
• Pratt, N. (2014). Quality officer takes on patient safety challenges. Biomedical Instrumentation & Technology, 48(4), 277–280.
• Wyatt, R. (2017). Building safe, highly reliable organizations: CQO shares words of wisdom. Biomedical Instrumentation & Technology, 51(1), 65–69.