Safety, Quality, and Informatics Scoring Guide CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED Describe a patient- safety issue. Does not describe a patient-safety issue. Identifies but does not describe a patient- safety issue. Describes a patient- safety issue. Describes a patient- safety issue and explores likely causes of the issue. Compare currently used organizational processes for handling patient- safety issues with concepts, principles, and practices that contribute to quality improvement and patient safety. Does not compare currently used organizational processes for handling patient safety issues with concepts, principles, and practices that contribute to quality improvement and patient safety. Describes currently used organizational processes for handling patient safety issues but does not compare them with concepts, principles, and practices that contribute to quality improvement and patient safety. Compares currently used organizational processes for handling patient safety issues with concepts, principles, and practices that contribute to quality improvement and patient safety. Evaluates currently used organizational processes for handling patient safety issues in terms of the evidence- based concepts, principles, and practices that contribute to quality improvement and patient safety. Analyze the legal and ethical consequences of not addressing patient-safety issues. Does not analyze the legal and ethical consequences of not addressing patient- safety issues. Describes the legal and ethical consequences of not addressing patient- safety issues. Analyzes the legal and ethical consequences of not addressing patient- safety issues. Analyzes the legal and ethical consequences of not addressing patient-safety issues and describes the impact on the organization from a financial and regulatory perspective. Recommend evidence-based interventions to address specific patient-safety issues. Does not recommend evidence-based interventions to address specific patient-safety issues. Identifies interventions to address specific patient-safety issues but does not provide evidence to support the interventions. Recommends evidence-based interventions to address specific patient-safety issues. Evaluates evidence- based interventions to address specific patient-safety issues to determine the most appropriate intervention for the organization and the safety issue. Explain how technology can be used to improve patient safety. Does not explain how technology can be used to improve patient safety. Explains how technology can be used in health care but does not connect the use of technology to patient safety. Explains how technology can be used to improve patient safety. Analyzes how technology can be used to improve patient safety. Identify organizational barriers to change. Does .

1. Safety, Quality, and Informatics Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT
DISTINGUISHED
Describe a patient-
safety issue.
Does not describe a
patient-safety issue.
Identifies but does not
describe a patient-
safety issue.
Describes a patient-
safety issue.
Describes a patient-
safety issue and
explores likely causes
of the issue.
Compare currently
used organizational
processes for
handling patient-
safety issues with
concepts, principles,
and practices that
contribute to quality
improvement and

2. patient safety.
Does not compare
currently used
organizational
processes for
handling patient
safety issues with
concepts, principles,
and practices that
contribute to quality
improvement and
patient safety.
Describes currently
used organizational
processes for handling
patient safety issues
but does not compare
them with concepts,
principles, and
practices that
contribute to quality
improvement and
patient safety.
Compares currently
used organizational
processes for
handling patient
safety issues with
concepts, principles,
and practices that
contribute to quality
improvement and
patient safety.

3. Evaluates currently
used organizational
processes for handling
patient safety issues in
terms of the evidence-
based concepts,
principles, and
practices that
contribute to quality
improvement and
patient safety.
Analyze the legal
and ethical
consequences of
not addressing
patient-safety
issues.
Does not analyze the
legal and ethical
consequences of not
addressing patient-
safety issues.
Describes the legal
and ethical
consequences of not
addressing patient-
safety issues.
Analyzes the legal
and ethical
consequences of not
addressing patient-

4. safety issues.
Analyzes the legal and
ethical consequences
of not addressing
patient-safety issues
and describes the
impact on the
organization from a
financial and
regulatory perspective.
Recommend
evidence-based
interventions to
address specific
patient-safety
issues.
Does not recommend
evidence-based
interventions to
address specific
patient-safety issues.
Identifies interventions
to address specific
patient-safety issues
but does not provide
evidence to support
the interventions.
Recommends
evidence-based
interventions to
address specific

5. patient-safety issues.
Evaluates evidence-
based interventions to
address specific
patient-safety issues
to determine the most
appropriate
intervention for the
organization and the
safety issue.
Explain how
technology can be
used to improve
patient safety.
Does not explain how
technology can be
used to improve
patient safety.
Explains how
technology can be
used in health care but
does not connect the
use of technology to
patient safety.
Explains how
technology can be
used to improve
patient safety.
Analyzes how
technology can be

6. used to improve
patient safety.
Identify
organizational
barriers to change.
Does not identify
organizational
barriers to change.
Identifies general
barriers to change but
not organizational
barriers to change.
Identifies
organizational
barriers to change.
Identifies
organizational barriers
to change and
explores the factors
within the organization
that created the
barriers.
Describe strategies
to overcome
organizational
barriers to change.
Does not describe
strategies to
overcome

7. organizational
barriers to change.
Lists strategies to
overcome
organizational barriers
to change.
Describes strategies
to overcome
organizational
barriers to change.
Analyzes strategies to
overcome
organizational barriers
to change and
determines the most
effective strategies to
CRITERIA NON-PERFORMANCE BASIC PROFICIENT
DISTINGUISHED
use for a specific
organization.
Write coherently to
support a central
idea in appropriate
APA format, with
correct grammar,
usage, and
mechanics as
expected of a

8. nursing
professional.
Writing does not
support a central idea
in appropriate APA
format. Does not use
correct grammar,
usage, and
mechanics as
expected of a nursing
professional.
Writing supports an
idea. APA format is
inconsistent, with
major errors of
grammar, usage, and
mechanics.
Writing coherently
supports a central
idea in appropriate
APA format and with
few errors of
grammar, usage, and
mechanics.
Writing is coherent,
using evidence to
support a central idea
in a consistently
appropriate APA
format, with correct
grammar, usage, and
mechanics as

9. expected of a nursing
professional.
· Hello,
When reading the National vs. Local Unemployment Rate in
chapter 8, If it wasn't for the following statement, "So, what
does this say about the local unemployment picture in your area
versus the national unemployment situation? Since a major
portion of the interval for the local unemployment rate is below
5.1%, is it reasonable to conclude that the local unemployment
rate is below the national unemployment rate? Not really."
(Mann S. P. 337) I would have just read through it and thought
that I understood the concept. But this statement made me
question the values used and the calculation so I was forced to
go back and read what it's actually doing. Because the local
unemployment rate would have the range between 4.2% and
5.2%, and the national unemployment rate was 5.1, you can't
truly be 100% sure that the local unemployment rate is actually
lower than the national.
Good point, the local unemployment rate is within the interval
estimate of the national rate for unemployment. Can anyone tell
us what assumptions I am making in this statement?
·
In week 4, we were asked to explain the calculation for "the
95% confidence interval" related to the milk data assignment. I
had to do a bit of a research to understand what all of it means
as it was not mentioned any where in the chapters 6 and 7
materials.
Now, I understand the true formula for calculating the
confidence levels:
But, before starting this calculation we should first find the area

10. of each tail, that is
Then divide results by 2, so you can use the Table VI in
Appendix B to get the confidence level for the particular
percentage.
Good discussion of the calculation of a confidence interval.
However, you can only use the z-score when you have a sample
size of 30 or more. Can anyone tell us what we need to use if
the sample size is less than 30?
· After defining what estimation is, there are two types of
estimation and they are point estimation and interval estimation.
the point estimation means that we used values from a sample
statistics to estimate the population parameter. also, the values
of the corresponding sample statistics equal to the point
estimate of a population parameter. as for the interval
estimation, it contains the corresponding population parameter
with a certain confidence level. the inverted estimation is
concentrated around the point estimation. it is usually defined
by two numbers whereas the point estimation is defined by a
single statistic value. I believe these two estimations are applied
for different situations.
Do you agree or disagree?? Why or why not?
· Hello,
For each interval surrounding the point estimate, based on
adding or subtracting marginal errors (denoted by E) to the
point estimate, a particular Confidence level is granted. This is
called the confidence interval. In simple terms, when sample
testing things, data or surveys, we are not looking at the whole
picture. Depending on what it is that we are looking at, we may
have different percentage of confidence about how accurate the
results come up to. This is the same thing as the confidence

11. level. And the different variables that can shift the percentage
of confidence to higher or lower is the confidence intervals.
Do you agree or disagree?? Why or why not??
Overview
Write 8 pages in which you identify a major patient-safety issue
within your own organization and use evidence-based best
practices and technology to develop a plan to improve the safety
issue.
Quality improvement and patient safety are central to the
nursing leadership role.
By successfully completing this assessment, you will
demonstrate your proficiency in the following course
competencies and assessment criteria:
Competency 2: Safety and Quality Practices - Incorporate
concepts of patient safety, clinical management, and quality
improvement to improve patient outcomes.
Describe a patient-safety issue.
Compare currently used organizational processes for handling
patient safety issues with concepts, principles, and practices
that contribute to quality improvement and patient safety.
Competency 3: Nursing Research and Informatics - Incorporate
evidence-based practice interventions (for example, information
systems and patient care technologies) as appropriate for
managing the acute and chronic care of patients, promoting
health across the lifespan.
Recommend evidence-based interventions to address specific
patient-safety issues.
Explain how technology can be used to improve patient safety.
Competency 4: Policy, Finance, and Regulations - Understand
the scope and role of policy, finance, and regulatory
environments in relationship to individual and population
outcomes.
Analyze the legal and ethical consequences of not addressing

12. patient-safety issues.
Competency 5: Communication - Communicate effectively with
all members of the health care team, including
interdepartmental and interdisciplinary collaboration for quality
outcomes.
Write coherently to support a central idea in appropriate APA
format with correct grammar, usage, and mechanics as expected
of a nursing professional.
Competency 6: Organizational and Systems Management -
Apply knowledge of organizational behavior, nursing theory,
and systems (micro- and macro-) as appropriate for the scope
and role of one's own practice.
Identify organizational barriers to change.
Describe strategies to overcome organizational barriers to
change.
Context
Central to the nursing leadership role, quality improvement and
patient safety are analyzed from many perspectives. Types of
quality improvement and patient safety programs may range
from internal, organization-based quality improvement team
reports to external benchmarks from The Joint Commission, the
Agency for Healthcare Research and Quality (AHRQ),
MAGNET, and numerous other organizations.
A landmark 2001 publication by the Institute of Medicine
(IOM) identified the imperative to focus on quality care and
patient safety. The initiative to create cultures of patient safety
and quality care remain at the forefront of the health care
leadership landscape. As a future nursing leader, you must
understand the components and use of effective tools for
successful quality improvement programs within your practice
setting.
In this program, you have also examined the application of
research and information technology in the nursing profession.
Information systems and patient-care technologies have
contributed in many ways to improved patient outcomes;
however, safeguards, secure practices, and ethical standards are

13. necessary to promote and support data security, patient
confidentiality, and regulatory requirements. You have also
investigated the effective use of patient-care technologies,
communication systems, and information systems across the
health-illness continuum.
Questions to Consider
To deepen your understanding, you are encouraged to consider
the questions below and discuss them with a fellow learner, a
work associate, an interested friend, or a member of the
business community.
Show Less
How do external organizations analyze quality improvement?
How can data from patient-safety initiatives be used to help
other organizations?
Suggested Resources
To help you prepare for this assessment, review the resources
you used and the assessments you completed in BSN-FP4004,
BSN-FP4006, BSN-FP4008, and BSN-FP4016.
Assessment Instructions
Preparation
As you prepare for this assessment, complete the following:
Before you begin, examine your organization's history of safety
in a specific area and how your organization addresses patient
safety issues. If possible, consult with a key stakeholder in the
organization (such as an administrator) to better understand
specific patient-safety concerns and how the organization is
working to resolve the concerns. This person should also be
able to discuss some of the organizational barriers impacting the
patient safety issue.
Next, look at the basic concepts, principles, and practices that
contribute to organizational quality improvement and patient
safety. Review the literature for best practices and how
technology might be used to improve the issue.
Finally, be sure to consider the legal and ethical implications
associated with the safety issue, as well as possible
organizational barriers to change.

14. Directions
As you construct this assessment, address each point as
completely as possible:
Describe a patient-safety issue within your organization.
Compare the way your organization addresses patient-safety
issues with the concepts, principles, and practices that
contribute to quality improvement and patient safety.
Analyze the legal and ethical consequences of not addressing
the issue.
Recommend evidence-based interventions to address the
patient-safety issue.
Explain how technology can be used to improve the issue.
Identify possible organizational barriers to change (budget,
vision, technology, et cetera).
Describe strategies to overcome organizational barriers to
change, based on your knowledge of the organization.
Additional Requirements
Format: Include a title page and reference page. Use APA style
and formatting.
Length: Ensure your completed assessment is 8 pages in length,
not including the title page and reference page.
References: Cite at least five current scholarly or professional
resources.
Font: Use double-spaced, 12-point, Times New Roman font.