Analyze the implications of an adverse event or a near miss for all stakeholders.

Prepare an analysis (5-7 pages) of an adverse event or a near miss from your professional nursing experience and outline a QI initiative that would address it.
Introduction
Health care organizations strive to create a culture of safety. Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. 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. Many errors are attributable to ineffective interprofessional communication.
Overview
The goal of this assessment is to allow you to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a QI initiative to prevent future incidents. It will give you the chance to develop your analytical skills in the problem-solving contexts you likely find yourself in as a health care professional.
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.
Historically, medical errors were reported and analyzed in hindsight. Today, QI initiatives attempt to be proactive, which contributes to the amount of attention paid to adverse events and near misses. Backed up by new technologies and reporting metrics, adverse events and near misses can provide insight into potential ways to improve care delivery and ensure patient safety.
For clarification, the National Quality Forum (n.d.) defines the following:
Adverse event: An event that results in unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient.
Near miss: An event or a situation that did not produce patient harm, but only because of intervening factors, such as patient health or timely intervention.
Instructions
Prepare a comprehensive analysis of an adverse event or a near miss from your professional nursing experience that you or a peer experienced. Provide an analysis of the impact of the same type of adverse event or near miss in other facilities. How was it managed, who was involved, and how was it resolved? Be sure to:
Analyze the implications of the adverse event or near miss for all stakeholders.
Analyze the sequence of events, missed steps, or protocol deviations related to the adverse event or near miss using a root cause analysis.
Evaluate QI actions or technologies related to the event that are required to reduce risk and increase patient safety.
Evaluate how other institutions integrated solutions to prevent these types of events.
Incorporate relevant metrics of the adverse event or near miss to support need for improvement.
Outline a QI initiative to prevent a future adverse event or near miss.
Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Be sure your analysis addresses all of the above points. You may also want to read the Adverse Event or Near Miss Analysis Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Adverse Event or Near Miss Analysis [DOCX] document for additional clarification about things to consider when creating your assessment.
Additional Requirements
Your assessment should also meet the following requirements:
Length of submission: A minimum of five but no more than seven double-spaced, typed pages, not including the title page or References section.
Number of references: Cite a minimum of three sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.
APA formatting: Resources and citations are formatted according to current APA style. Review the Evidence and APA section of the Writing Center for guidance.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.
Analyze the implications of an adverse event or a near miss for all stakeholders.
Analyze the sequence of events, missed steps, or protocol deviations related to an adverse event or a near miss using a root cause analysis.
Outline a quality improvement initiative to prevent a future adverse event or near miss based on research and evidence-based practices.
Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
Evaluate and identify quality improvement actions or technologies related to an event that are required to reduce risk and increase patient safety.
Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

How are the teachers you interviewed advocates for students?

Essay: Bullying
Assignment
Interview two teachers, who teach at the level you teach which is 1st grade about ways in which they address bullying in their classrooms. Ask questions about their policies, typical responses, consequences, as well as any particular examples they may be willing to share regarding situations when they responded to discriminatory or prejudiced remarks or behaviors by their students toward students of diverse sexual orientation. Try to determine whether teachers’ approaches are typically proactive—they anticipate potential discrimination and put things in place to prevent them from happening—or reactive, they typically just focus on correcting or disciplining students after the behaviors have occurred. How are the teachers you interviewed advocates for students? This assignment can be written as an interview or an essay, according to APA guidelines, 500-600 words. Refer to your text and 1-3 outside resources for this assignment. Include a references page for your sources.

explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

CONTROVERSY ASSOCIATED WITH PERSONALITY AND PARAPHILIC DISORDERS

Between 10% and 20% of the population experience personality disorders. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.
Paraphilic disorders are far more common in men than in women, and generally quite chronic, lasting at least two years. Treatment of these disorders usually involves both psychotherapeutic and pharmacologic treatments.
In this Assignment, you will explore personality and paraphilic disorders in greater detail. You will research potentially controversial elements of the diagnosis and/or treatment and explain ethical and legal considerations when working with these disorders.

TO PREPARE
Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.
Select a specific personality or paraphilic disorder from the DSM-5-TR to use for this Assignment.
Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations. 
THE ASSIGNMENT
In 2–3 pages:
Explain the controversy that surrounds your selected disorder.
Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.
Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

The following patients are in the ED, which patient will you give to each of the nurses and why?

Discussion
Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.
Keeping that in mind, answer the following scenario:
You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:
RN with 12 years of Trauma ED experience
New RN with 6 months ED experience
RN from the Medical Surgical floor with 8 years of experience
The following patients are in the ED, which patient will you give to each of the nurses and why?
A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
A 38-year-old client with kidney stones complaining of severe pain.
A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
An 80-year-old client that has not had a bowel movement for 4 days.

Explain what the results might indicate about you as a leader.

To help you complete your leadership analysis, please use the following tips:
Write the paper in first person.
Read through the entire task instructions and rubric requirements before completing task 1.
Recommend to use the “Sample academic paper” when organizing your task. You are encouraged to create a cover page, a table of contents, headers, and sub-headers throughout the paper.
The paper should be 6-10 pages, not including the cover page and references. Please be both descriptive (who, what, when, and where) and explanatory (why and how). Evaluators assess your paper based on the specificity of your response, not on the generalizations.
Note: Meeting the rubric criteria is more important than writing a number of pages.

Leadership Analysis
In this section, you will complete and explain the results of the CliftonStrengths assessment. CliftonStrengths is a leadership assessment tool that will help you identify and apply your top five categorical strengths to become a more effective leader.
This section is an analysis of your leadership. 
Refer to your results from the CliftonStrengths assessment.
You must upload your PDF version of your Signature Themes report when you submit your final paper.
Explain what the results might indicate about you as a leader. You must explain your top five categorical strengths results. Be descriptive and provide examples. 
Your explanation should include:
a separate paragraph for each strength category,
the category title,
your results, and
your reflection on the results including both descriptive and explanatory examples. 
This reflection is not related to theory.
Provide citations where needed

What is an organized way of looking at different data outputs?

Guiding Questions
Data Analysis and Quality Improvement Initiative Proposal
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Data Analysis and Quality Improvement Initiative Proposal assessment. You may find it useful to use this document as a prewriting exercise, an outlining tool, or a final check to ensure you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.
Analyze data to identify a health care issue or an area of concern.
What data does your institution gather? (Or, what data were provided in the media piece?)
What is the quality of the data, and what can be learned from it? What does it tell you? What is missing?
What is an organized way of looking at different data outputs?
What metrics indicate opportunities for quality improvement?
What are the trends? (Existence of data does not necessarily equate to a trend.)
What are the outcome measures? What information do you need to calculate specific rates?
Assess the stability of processes or outcomes. Are the outcomes fairly predictable? Identify any problematic variations or performance failures.
Include the selected data set that was analyzed in the proposal. This could be a table or chart.
Outline a quality improvement initiative proposal based on a selected health issue or area of concern and supporting data analysis.
What benchmarks align to existing quality improvement initiatives set by local, state, or federal health care policies or laws?
What quality initiatives currently exist (if any) related to the selected issue? Why are they insufficient?
Identify target areas for improvement.
Define what processes can be modified to improve outcomes. You may find it helpful to review models for quality improvement initiatives in Week 4.
Identify evidence-based strategies to improve quality.
Evaluate quality improvement initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
Define interprofessional roles and responsibilities as they relate to the data and the quality improvement initiative.
How would you make sure that all relevant roles are fully engaged in this effort?
What non-nursing concepts would you incorporate into the initiative?
How would outcomes to measure the effect of the intervention affect the interprofessional team?
Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. How is work-life quality improved or enriched by the initiative?
Apply effective communication strategies to promote quality improvement of interprofessional care.
What kind of interprofessional communication strategies will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative?
What types of communications would you recommend in addition to writing?
Are there any communication models (CUS, SBAR) you would include in your initiative proposal?
Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
Is your analysis logically structured?
Is your analysis 7–10 PowerPoint slides, with speaker notes (not including title slide and attached reference list)?
Is your writing clear and free from errors?
Did you use a minimum of five sources? Were they published within the last five years?
Are they cited in current APA format throughout the plan?
Have you included an attached reference list?

Write a 600-750 word paper that presents your conclusions about the pattern(s), design(s), and overall business strategy your canvas depicts.

Instructions
GOAL: Build on your work with your business model canvas by discussing the patterns, the design, and the overall business strategy it illustrates.
Introduction: Using the Week Five Learning Material in the Content area (coupled with the other course resources), examine and discuss the observable patterns, designs, and strategies in your business model. You should also integrate metaphors (Morgan’s) and framing (Bolman & Deal) into your organization/business discussion. This paper will serve as an investigative tool to inform you further about your business model so that you will be prepared to comprehensively diagnose/assess your model and propose recommendations in your final project for the course. You could say that this week’s work lays the groundwork for moving into the substantive diagnosis and assessment expected in your final paper. You may also benefit from conducting an Internet search of the Business Model Canvas to become comfortable with how it works, particularly in investigating patterns, design, and strategy. There are also various YouTube-type videos on the web that demonstrate the use of the canvas for this phase of your work with your canvas.
Instructions: Write a 600-750 word paper that presents your conclusions about the pattern(s), design(s), and overall business strategy your canvas depicts. Metaphoric and framing applications should also be discussed. The paper should be written in the third person and is not reflective (first person not acceptable). A title page and references page with a minimum of three sources is required (no abstract needed).
IMPORTANT NOTE: One of the common errors that students make in the writing of this paper is to limit the discussion of the “frames” (Bolman & Deal) and “metaphors (Morgan). Do not merely mention these items, but discuss the implications of them. What “frame” best depicts your organization and why? What does it tell you about the effectiveness of the context/perspective of the interactivity within your model? Make the same sort of consideration in relation to the most appropriate metaphor that describes the functionality of your organization/business. Look for the “so what” in your consideration of pattern, design, and strategy. This is where the consideration and reflection based on your model—with added insight via the frames and metaphors—provides you with a substantive understanding of the implications of the pattern, design, and strategy. Consideration of change, or confirmation of direction—will be revealed in this process.

The organization to use is the US Army Basic Training. *

Describe why you believe the activity will help your students feel safe in class discussions and exploring topics regarding ethnic, racial, and immigrant diversity.

Essay: Safety
Assignment-Activities for helping students feel safe exploring topics regarding race and ethnicity can support students in the level of participation at which they feel comfortable. Find an activity that could be used at the grade level for first grade!
Describe the activity and the grade level/course in which it will be implemented.
Describe how the activity serves the purpose of activating students’ understanding of the ethnic, racial, and immigrant diversity present within their own communities.
Describe why you believe the activity will help your students feel safe in class
discussions and exploring topics regarding ethnic, racial, and immigrant diversity..
This assignment should be written according to APA guidelines, 500 to 750 words. Refer to your text and 1-3 outside resources for this assignment. Include a references page for your sources.

What are the management, organization, and technology issues raised by this problem?

It is important to understand what information systems are and why they are essential for running and managing a business. The case studies below will provide you with an opportunity to review many of the concepts covered in this course. These case studies provide you with an opportunity to critically analyze events that are taking place in real-life organizations. This helps to develop your critical thinking and research skills as you research each of these scenarios. 
For this assignment, you will review four case studies. Then, in a PowerPoint presentation, you will evaluate the studies and address each of the requirements listed below, using both critical thinking and theory as well as supporting documentation.
Review and analyze the Chapter 1 Case Study “Will the Coronavirus Pandemic Make Working from Home the New Normal?” and address the following in a minimum of four slides:
Define the problem described in this case. What are the management, organization, and technology issues raised by this problem?
Identify the information technologies used to provide a solution to this problem. Was this a successful solution? Why, or why not?
Will working from home become the dominant way of working in the future? Why, or why not?
Review and analyze the Chapter 2 Case Study “Is Social Business Good Business?” and address the following in a minimum of four slides:
Identify the management, organization, and technology factors affecting adoption of internal corporate social networks.
Compare the experiences implementing internal social networks of the organizations described in this case. Why was Standard Bank successful? What role did management play in this process?
Should all companies implement internal enterprise social networks? Why, or why not?
Review and analyze the Chapter 8 Case Study “Is the Equifax Hack the Worst Ever—and Why?” and address the following in a minimum of four slides: 
Identify and discuss the security and control issues that resulted from flaws in Equifax security and control. 
What management, organization, and technology factors contributed to these problems?
Discuss the impact of the Equifax hack.
How can future data breaches like this one be prevented? Explain your answer.
Review and analyze the Chapter 15 Case Study “Rethinking Global Supply Chains” and address the following in a minimum of three slides:
Discuss the advantages and disadvantages of global supply chains. 
What measures can companies take to mitigate supply chain risk? 
Should companies continue to maintain global supply chains? Explain your answer
In formatting your PowerPoint presentation, do not use the question-and-answer format; instead, use bullets, graphs, and/or charts in your slides to identify important points, and then discuss those points in the speaker notes of each slide. The speaker notes section of each slide should not repeat slide information, but serve as an area in which you augment or elaborate on slide information so that your audience has a better understanding of the material. You must have a minimum of 100 words in the Speaker Notes section of each content slide.
Your PowerPoint presentation should be a minimum of 15 slides in length (not counting the title and reference slides). You are required to use a minimum of two peer-reviewed, academic sources that are no more than 5 years old to support each case study. You may use your eTextbook once in each case study. All sources used, including the eTextbook, must be referenced; all paraphrased material must have accompanying in-text citations. At least two sources must come from the CSU Online Library. APA style and formatting is required.

Write a short paper (3-5 pages) discussing whether each in-basket item reflects Dr. Brown as: Leader as Learner, Leader as Manager, Leader as Shaper of School Culture, or some combination of the three.

Assignment – The New Leader

Robbins & Alvy (2014) discussed the role in three terms: Leader as Learner, Leader as Manager and Leader as Shaper of school/work Culture. It is important that you understand and are able to identify each of these, both independently and interdependently.

Instructions:

1. Read the background section of The New Principal found on page 232 of Gorton & Alston (2012).

2. Review each of the in-basket items 1- 19.

3. Write a short paper (3-5 pages) discussing whether each in-basket item reflects Dr. Brown as: Leader as Learner, Leader as Manager, Leader as Shaper of School Culture, or some combination of the three. Provide a rationale for each of your answers. Support your answers with evidence from the course reading or other scholarly sources. Be sure to cite and reference your sources in APA format. The links below can provide you with guidance and examples on using APA format.

4. As you draft your responses, consider how these in-basket items might look within your desired leadership role (principal).