Adverse Event or Near Miss Analysis Details Attempt 1Available Attempt 2NotAvailable Attempt 3NotAvailable Toggle Drawer  Overview Write a 5–7-page a comprehensive analysis on an adverse event or  near miss from your professional nursing experience. Integrate research  and data on the event and use as a basis to propose a quality  improvement (QI) initiative in your current organization. Health care organizations strive for a culture of safety. Yet  despite technological advances, quality care initiatives, oversight,  ongoing education and training, laws, legislation and regulations,  medical errors continue to occur. Some are small and easily remedied  with the patient unaware of the infraction. Others can be catastrophic  and irreversible, altering the lives of patients and their caregivers  and unleashing massive reforms and costly litigation. Show More Toggle Drawer  Context     The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience. Toggle Drawer  Questions to Consider     As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. 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 your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment. Show More Toggle Drawer  Resources     Required Resources MSN Program Journey The following is a useful map that will guide you as you continue  your MSN program. This map gives you an overview of all the steps  required to prepare for your practicum and to complete your degree. It  also outlines the support that will be available to you along the way. MSN Program Journey  |  Transcript . Show More  Assessment Instructions     Preparation Prepare a comprehensive analysis on an adverse event or near-miss  from your professional nursing experience that you or a peer  experienced. Integrate research and data on the event and use as a basis  to propose a Quality Improvement (QI) initiative in your current  organization. Note : Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service. The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be s.

1. Adverse Event or Near Miss Analysis
Details
Attempt 1Available
Attempt 2NotAvailable
Attempt 3NotAvailable
Toggle Drawer
Overview
Write a 5–7-page a comprehensive analysis on an adverse event
or near miss from your professional nursing experience.
Integrate research and data on the event and use as a basis to
propose a quality improvement (QI) initiative in your current
organization.
Health care organizations strive for a culture of safety. Yet
despite technological advances, quality care initiatives,
oversight, ongoing education and training, laws, legislation and
regulations, medical errors continue to occur. Some are small
and easily remedied with the patient unaware of the infraction.
Others can be catastrophic and irreversible, altering the lives of
patients and their caregivers and unleashing massive reforms
and costly litigation.

2. Show More
Toggle Drawer
Context
The purpose of the report is to assess whether specific
quality indicators point to improved patient safety, quality of
care, cost and efficiency goals, and other desired metrics.
Nurses and other health professionals with specializations
and/or interest in the condition, disease, or the selected issue
are your target audience.
Toggle Drawer
Questions to Consider
As you prepare to complete this assessment, you may want
to think about other related issues to deepen your
understanding or broaden your viewpoint. 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
your professional community. Note that these questions are for
your own development and exploration and do not need to be
completed or submitted as part of your assessment.
Show More
Toggle Drawer
Resources
Required Resources

3. MSN Program Journey
The following is a useful map that will guide you as you
continue your MSN program. This map gives you an overview
of all the steps required to prepare for your practicum and to
complete your degree. It also outlines the support that will be
available to you along the way.
MSN Program Journey
|
Transcript
.
Show More
Assessment Instructions
Preparation
Prepare a comprehensive analysis on an adverse event or near-
miss from your professional nursing experience that you or a
peer experienced. Integrate research and data on the event and
use as a basis to propose a Quality Improvement (QI) initiative
in your current organization.
Note
: Remember, you can submit all, or a portion of, your draft to
Smarthinking for feedback, before you submit the final version
of your analysis for this assessment. However, be mindful of
the turnaround time for receiving feedback, if you plan on
using this free service.
The numbered points below correspond to grading criteria in
the scoring guide. The bullets below each grading criterion

4. further delineate tasks to fulfill the assessment requirements.
Be sure that your Adverse Event or Near-miss Analysis
addresses all of the content below. You may also want to read
the scoring guide to better understand the performance levels
that relate to each grading criterion.
Analyze the missed steps or protocol deviations related to an
adverse event or near miss.
Describe how the event resulted from a patient’s medical
management rather than from the underlying condition.
Identify and evaluate the missed steps or protocol deviations
that led to the event.
Discuss the extent to which the incident was preventable.
Research the impact of the same type of adverse event or near
miss in other facilities.
Analyze the implications of the adverse event or near miss for
all stakeholders.
Evaluate both short-term and long-term effects on the
stakeholders (patient, family, interprofessional team, facility,
community). Analyze how it was managed and who was
involved.
Analyze the responsibilities and actions of the interprofessional

5. team. Explain what measures should have been taken and
identify the responsible parties or roles.
Describe any change to process or protocol implemented after
the incident.
Evaluate quality improvement technologies related to the event
that are required to reduce risk and increase patient safety.
Analyze the quality improvement technologies that were put in
place to increase patient safety and prevent a repeat of similar
events.
Determine whether the technologies are being utilized
appropriately.
Explore how other institutions integrated solutions to prevent
these types of events.
Incorporate relevant metrics of the adverse event or near miss
incident to support need for improvement.
Identify the salient data that is associated with the adverse
event or near miss that is generated from the facility’s
dashboard. (By dashboard, we mean the data that is generated
from the information technology platform that provides
integrated operational, financial, clinical, and patient safety
data for health care management.)
Analyze what the relevant metrics show.

6. Explain research or data related to the adverse event or near
miss that is available outside of your institution. Compare
internal data to external data.
Outline a quality improvement initiative to prevent a future
adverse event or near miss.
Explain how the process or protocol is now managed and
monitored in your facility.
Evaluate how other institutions addressed similar incidents or
events.
Analyze QI initiatives developed to prevent similar incidents,
and explain why they are successful. Provide evidence of their
success.
Propose solutions for your selected institution that can be
implemented to prevent future adverse events or near-miss
incidents.
Communicate analysis and proposed initiative in a professional
and effective manner, writing content clearly and logically with
correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support arguments, correctly
formatting citations and references using current APA style.
Submission Requirements

7. Length of submission: A minimum of five but no more than
seven double-spaced, typed pages.
Number of references: Cite a minimum of three sources (no
older than seven years, unless seminal work) of scholarly or
professional evidence that support your evaluation,
recommendations, and plans.
APA formatting: Resources and citations are formatted
according to current APA style and formatting.
Assessment 1 Ex