Part IV: Design a Chart for the Topic Surgery Risk management uses certain documents to track incidents. It will help you to become familiar with the kind of information that goes into these documents. This week, you will create and fill in a quality improvement chart for the high-risk area topic Surgery 1 Design a chart to show the indicators, their measurements, and the expected and actual performance. Use the template to design your chart. Further, use 5 out of the 10 standards listed. See below to review the template. 2 Select one of the fictional incidents you created last week. Describe the incident under Status. 3 For this incident, complete the Compliance section using fictitious data. The tracking of the indicators should correspond to the incident. That is, some failure of compliance may have led to the incident. 4 Develop a plan of correction to address the incident. Write a brief description under Plan of Correction. Part IV: Design a Chart Use the matrix below to design your quality improvement chart. Show all the indicators you selected in the chart. Quality Improvement Activity Schedule Standards Severity of Risk Performance Indicator Level of Performance / Threshold Compliance in Percent Status Plan of Correction Qtr 1 Qtr 2 Qtr 3 Qtr 4 Under standards, you may include areas such as the following: IC: Surveillance, Prevention, and Control of Infection HR: Management of Human Resources EC: Management of the Environment of Care IM: Management of Information MM: Medication Management LD: Leadership NPSG: National Patient Safety Goals PI: Improving Organizational Performance PC: Provision of Care, Treatment, and Services RI: Ethics, Rights, and Responsibilities Severity of risk may be designated as follows: H: High risk M/H: Medium/high risk M: Medium risk L: Low risk Compliance (in percent) may be entered on a monthly, quarterly, bi-annual, or annual schedule. The matrix here shows quarterly compliance schedule. Adjust it as necessary. Running head: FICTITIOUS RISK INCIDENTS 1 FICTITIOUS RISK INCIDENTS 5 Fictitious risk incidents Fictitious risk incidents There are risks associated with so many activities that people carry out at any time. The same way there are risks associated with carrying out surgical operations. The risks could be as worse as death but the surgical doctors do anything within their power and knowledge to limit them and mitigate the risks. This paper analyses the various risks associated with the surgery of patients. In particular three scenarios depicting the risks incidents associated with the operations of patients. The risks incidents discussed in this paper are as a result of bleeding, drug reaction and damage to the nearby tissues and other or.

1. Part IV: Design a Chart for the Topic Surgery
Risk management uses certain documents to track incidents. It
will help you to become familiar with the kind of information
that goes into these documents.
This week, you will create and fill in a quality improvement
chart for the high-risk area topic Surgery
1 Design a chart to show the indicators, their measurements,
and the expected and actual performance. Use the template to
design your chart. Further, use 5 out of the 10 standards listed.
See below to review the template.
2 Select one of the fictional incidents you created last week.
Describe the incident under Status.
3 For this incident, complete the Compliance section using
fictitious data. The tracking of the indicators should correspond
to the incident. That is, some failure of compliance may have
led to the incident.
4 Develop a plan of correction to address the incident. Write a
brief description under Plan of Correction.
Part IV: Design a Chart
Use the matrix below to design your quality improvement chart.
Show all the indicators you selected in the chart.

2. Quality Improvement Activity Schedule
Standards
Severity of Risk
Performance Indicator
Level of Performance / Threshold
Compliance in Percent
Status
Plan of Correction
Qtr 1
Qtr 2
Qtr 3
Qtr 4

3. Under standards, you may include areas such as the following:
IC: Surveillance, Prevention, and Control of Infection HR:
Management of Human Resources
EC: Management of the Environment of Care IM: Management
of Information
MM: Medication Management LD: Leadership
NPSG: National Patient Safety Goals PI: Improving
Organizational Performance
PC: Provision of Care, Treatment, and Services RI: Ethics,
Rights, and Responsibilities
Severity of risk may be designated as follows:
H: High risk M/H: Medium/high risk M: Medium risk L:

4. Low risk
Compliance (in percent) may be entered on a monthly,
quarterly, bi-annual, or annual schedule. The matrix here shows
quarterly compliance schedule. Adjust it as necessary.
Running head: FICTITIOUS RISK INCIDENTS
1
FICTITIOUS RISK INCIDENTS
5
Fictitious risk incidents
Fictitious risk incidents
There are risks associated with so many activities that
people carry out at any time. The same way there are risks
associated with carrying out surgical operations. The risks could

5. be as worse as death but the surgical doctors do anything within
their power and knowledge to limit them and mitigate the risks.
This paper analyses the various risks associated with the
surgery of patients. In particular three scenarios depicting the
risks incidents associated with the operations of patients. The
risks incidents discussed in this paper are as a result of
bleeding, drug reaction and damage to the nearby tissues and
other organs. All of these risks are more likely to be realized
during the surgery. Below is an elaborate discussion of the risk
incidents.
In the first scenario, the patient is named Lukas. Lukas has
a tumor that is developing his neck. Tumor is defined as the
uncontrolled replication of the body cells. It is commonly
known as growth in the neck and has gone for a surgery to
remove the growth. After the formal procedures that the patients
undergo before the surgery he was taken into the theatre for the
surgical operation. During the operation, it happened that the
doctor in charge cut a vein accidentally. Lukas began to lose a
lot of blood, a condition that the medical practitioners refer to
as hemorrhage (Bambakidis & et al 2009). He lost so much
blood for so long that the doctors got worried enough to halt the
main operation and take care of the bleeding. This is one of the
major risks that are associated with neck surgery. He had to be
knocked out further with more anesthesia’s when he woke up.
The main reason why this was done was to give the doctors
more time to complete removing the growth. In this case, Lukas
did not only lose so much blood but had one of his veins
damaged. The vein that was cut had to be stitched. After the
operation he went through a lot of pain nursing what was to be
one wound now two.
In the second scenario, the patient is named Miriam. She
was expecting and after experiencing the labor pains went for
delivery at the hospital. After thorough medical examination
and the observations by the doctors and the nurses, she was
found to be unable to deliver normally. The normal birth is that
which takes place through the birth canal also known as the

6. vagina. The doctors noted that she had very narrow hips and
that her pelvic girdle had not adjusted enough to allow for a
normal birth (Knight, 2010). In light of the above observations
the doctors recommended a cesarean section. This is a medical
procedure for delivery of babies through an incision. The
doctors cut through the abdomen into the uterus of the woman
and then remove the baby.
Before carrying out this surgical procedure, the doctors
gave her the anesthesia to get her to sleep. The right and the
recommended portion of the anesthesia have to be administered
into the patient’s bloodstream. In this scenario it happened that
she was over-dozed with the anesthesia. Apparently the doctors
had overestimated her ability to be knocked out by the portion;
they gave her an excess amount of the anesthesia. She stayed
asleep for a long time after the delivery that the doctors put her
under the care of machines that ensured that her heart kept on
working properly. In this case the risk is associated with the
numbing drug, it was issued in excess and that led to the
prolonged sleep. It must be noted that sometimes this kind of
risk may lead to deaths as large volumes of anesthesia are
known to numb the cardiac muscles, killing even the heart.
The patient in the third scenario is named Josephine.
Josephine has been experiencing a lot of pain while taking short
calls. She has been to many hospital facilities and has not
received any ultimate solutions. She visited a personal doctor
who recommended an examination of her kidneys. The results of
the examination revealed that all of her kidneys was spoiled and
needed to be removed. This required a surgical operation. The
doctors in removing the damaged kidneys damaged the joint
between the urethra and the bladder. Consequently after one
month from the time of the transplant of the new kidney she
experienced urine leakage through the surgical incision that was
made in her abdomen (McKay & Steinberg, 2010). This delayed
the healing of the wound and had to go back for further surgery
to seal the leak. This illustrates the risk of damaging the nearby
organs while carrying out an operation on the adjacent organ. It

7. is a common risk associated with the surgical operation of
organs.
Reference
Bambakidis, N. C., Megerian, C. A., & Spetzler, R. F.
(2009). Surgery of the cerebellopontine
angle. Hamilton, Ont: BC Decker.
Knight, M. B. (2010). Strategies for the C-Section Mom: A
Complete Fitness, Nutrition, and
Lifestyle Guide. Cincinnati: F+W Media.
McKay, D., & Steinberg, S. M. (2010). Kidney transplantation:
A guide to the care of kidney
transplant recipients. New York: Springer.