Summarize the historical and contemporary issues and legal implications related to patient safety in your chosen adverse event.

Part Two: CQI Tool (Complete Part Two of the Adverse Event template)

Choose a CQI Tool that best suits your chosen Adverse Event from the following list:
Fishbone Diagram (Cause & Effect)
Use the CQI Tool to illustrate the use of the tool with your chosen adverse event. You will be responsible for creating the CQI Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot under the instructions in Part Two CQI Tool in the Adverse Event template.

Part Three: Future Prevention (Complete Part Three of the Adverse Event template)

After describing the event in Part One and using a CQI tool in Part Two, apply the PDCA model to summarize the process and steps that your team would recommend to the CEO to prevent this adverse event from reoccurring. Make sure to include who (health care personnel) would be accountable at each step of the process. Complete the Explanation column in Part 3 of the Adverse Event template.

It is important to keep in mind that some processes require a checks and balance system. You will need to determine if one of the steps you are recommending would require a checks and balance step and why it is necessary.

Paper Requirements:

The Paper must be six to seven pages in length (excluding title and references pages) and should demonstrate understanding of the reading assignments, class discussions, your own research, and the application of new knowledge. Excluding your textbook and course readings include a minimum of four scholarly, peer-reviewed sources. Two of these sources must be from the Ashford University Library and must have been published within the past five years. An APA formatted reference page is required. Your responses within the document provided must be substantive, and include complete sentences in paragraph format, including citations per APA format. Refer to the Ashford Writing Center for information on APA guidelines.

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