Please review the instructions before beginningWeek 5 Project




Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
This assignment has two parts.

Part 1:
Write a 2–3 page evaluation of the quality improvement program that you have created. This should be the annual summary of the hypothetical data. Make sure your hypothetical data are credible.

Part 2:
As you may recall from Week 1, your Course Project was to prepare a total quality improvement program, with a focus on one high-risk area. Continuous quality improvement covers many areas. Throughout the course, you have learned about the attributes that constitute a quality improvement team and what questions this team attempts to answer. The assignments toward this project that you completed each week can now be assembled into a single instructional document.
Make necessary adjustments to your document so that each segment flows smoothly into the next. Evaluate your project using the criteria given below.
1. Are the indicators and their measurements appropriate to the high-risk area? Do the indicators capture the risk?
2. Are the fictional incidents realistic and plausible?
3. Is the filled chart consistent with the fictional incident?
4. Is the plan of correction feasible? Will it prevent the occurrence of the incident in future?
5. How do you know the plan worked? What measures will you use to identify effectiveness?
Include an introduction, conclusion and reference page to this assignment.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Detail:

· Your assignment should be addressed in an 8- to 10-page document.
· Submit your documents to the Submissions Area by the due date assigned.Running Head: RISKS ASSOCIATED WITH THE EMERGENCY ROOM 1


Risks Associated with the Emergency Room
Angelica F Davis
South University
HCM4002 Risk Management in Healthcare Setting

Professor Edmonds

An emergency room is essential in hospitals since it is used to serve patients with conditions that have to be solved urgently. The patients either present themselves or are brought in by an ambulance. Their cases are taken as urgent since the patients were not able to make an appointment; an example of such an urgent condition is an accident. In this case, the patient was not in a condition to know that the accident would take place so that they would make an appointment with the hospital hence taken as an emergency.
When patients majorly come into the emergency room, there sometimes lacks proper communication among parties involved. One of the things that the emergency department needs to know is the nature of the accident. The group responsible for this is the people who bring in the patient into the emergency room; they should be communicate fast and effectively what happened to the patient in concern. With ineffective communication, there may be severe consequences for the patient in this case. This poses a risk to the patient since it is an emergency condition and lacks enough information on what happened to the patient. Being an urgent condition, this may sometimes lead to misdiagnosing the patient since there lacks evidence-based assessment (Gadir, 2019). This is another significant risk posed to the patient by activities of the emergency room.
The nature of the accident is sometimes unknown, and as the healthcare professionals are trying to establish this, the health risk is posed to them. The healthcare professional, in this case, may end being infected by emergency patients. An example of such a case is where the patients may be having a disease like the current coronavirus; if the healthcare professional is not careful enough, they will end up contracting the disease (United States Department of Labor, 2020). In most cases, the profession will not be careful enough since they lack knowledge of the nature of risk. Another risk posed to healthcare professionals in decision-making due to the urgency of the patient’s condition. For this reason, in most cases, healthcare professionals will end making shared decision-making to reduce the risk.
There is mostly a case of patients overusing the emergency room. This is where patients with no urgent conditions present themselves in the emergency room, leading to managed care insurance companies and the patients incurring higher costs. A study performed in 2004 established that the emergency room’s overuse was the most common reason for disputes over coverage. Later in 2017, Anthem, a health insurance provider, expanded this denial coverage to ensure the emergency room’s overuse is not paid for, which provoked public policy reacRunning Head: RISK ASSESSMENT FACTORS IN HEALTH SECTOR 1


Risk Assessment Factors in the Health Sector
Angelica F Davis
South University Online
HCM4002 Risk Management in Healthcare Setting
Professor Edmonds

The unit team and the implementation team must state their agenda for implementing best practices when you have determined that you are prepared for change. Practices based on expert opinion and literature characterize the most acceptable way we now know of stopping tumbles in the hospitals and are referred to as best practices (Akintoye, & Chinyio, 2005).
The following questions should be addressed by team members: which universal drop precaution should be used in the hospital throughout; which drop deterrence practice should you use; how should you manage and assess the patient after a drop; how should recognized risk aspects be utilized for drop deterrence care preparation; how should standardized assessment of risk factors be conducted; in what way can your sanatorium integrate these practices into a drop deterrence program.
Drop deterrence challenges are priorities for the patient must be composed with drop deterrence-the persistent usually is not in hospitals because of drops, so attentions are focused somewhere else. However, a drop in a sickening patient can prolong the recovery process and can be disastrous. Secondly, drop deterrence must be well-adjusted with the need to summon patient-patients to ambulate and transfer to avoid bed rest complications and maintain their strength even though it may be alluring to leave the patient in bed to avoid the drop.
The patient guard from harm is through drop deterrence during hospice stay. How would drop deterrence be articulated while upholding enthusiasm in other sectors such as control and infection; drop deterrence interdisciplinary-occupational therapist, physical therapist, pharmacist, nurses, physicians, patients, and relatives need to collaborate to avoid drops. How should the correct evidence about the patient acquire the team’s correct associate at the appropriate period?
When looking at which drop deterrence practices to use and given the complication of drop deterrence, the work of carrying out a program may seem discouraging. Drop deterrence activities are broken down into sectors for simplification: firstly, universal drop precautions, not forgetting planned rounding protocols; care interventions and planning that reports the recognized risk factors within the general upkeep plan for the patient; post drop activities, not forgetting clinical review and root cause analysis; ad finally a standardized assessment of drop risk factors.
Your platform is more likely to be sustained and implemented when it is best for the patient, and it is compatible with hospital priorities. The primary purpose of patients visiting the hospitalRunning head: RISK MANAGEMENT 1

Risk Management Incident in The Emergency Room Setting
Angelica F Davis
South University Online
HCM4002 Risk Management in Healthcare Setting

In the world today, risk has been defined by many scientists within various fields as an undefined occurrence or situation that has either a beneficial impact (opportunity) or a harmful impact (threat). Meanwhile, risk management concerns piloting risk management preparation, credentials, study, reactions and observing, and controlling the particular risk whenever it occurs.
Therefore, based on risk at the emergency room in a hospital and how we can manage that particular risk, it is advisable to check on some of the factors that generally lead to risk in an emergency room. They include; lack of communication between the doctors and nurses at the emergency room during surgery operation, for instance, lack of adequate knowledge or even experience among the doctors and the nurses in the emergency room, failure to perform recommended examination or operation in an emergency room it’s also one of the factors, inadequate clinical history documented about the patient by the assessment nurse or the triage in an emergency room and inability to interpret radiology examinations about the patient being attended to among other risk management factors.
Additionally, as a risk manager in a health institution, it is usually called upon to analyze the specific risk to determine the potential risk in developing the risk management plans. The process should answer some questions like: How could the risk possibly occur? How severe will the outcome if the risk occurs? What can be done to reduce the impact? What is the potential for exposure to such a risk? Therefore, based on the research, three different scenarios are clearly explained below to understand how, when, where, and why risk occurs in an emergency room and the causes of such occurrences.
Firstly, there is a change of shifts by the healthcare providers or the assessment nurses, for instance, those during the day with those at night. For example, when a patient at the emergency room is at risk of being prescribed a different medication from the earlier nurse or doctor attending to them before prescribed. Since the patient in an emergency room would not tell but to wait for the medication, the risk will be if the assessment nurse did not provide pertinent information about the patient’s progress. (“5 Steps to Any Effective Risk Management Process”, 2020)
Additionally, under change of shifts, a scenario where the patient is advised to revisit the emergency room at a particular day would be a hazard when the patient finds another doctor who didn’t advise them to come on the very day. The doctor may ignore the patient since he has patients to attend to that day. It would be difficult for the patient to fully receive the recommended medication than when the doctor or assessment Our Lady of Lourdes Heart Hospital, Patient Safety Review
Angelica F Davis
South University Online
HCM4002 Risk Management in Healthcare Settings
Professor Hannah Edmonds


I will examine Our Lady of Lourdes Heart Hospital, located in Lafayette, Louisiana, as my hospital of choice. Patient safety ratings influence my choice since they are provided by patients who have experienced being treated at the hospital. Additionally, the ratings come from many patients and thus provide a good overview of the quality of service provision. For instance, if a choice is to be made between two hospitals, one with better patient experience and better hospital quality, I will go for the one with better patient experience since it depicts how the quality of service was as told by the patients.
The most critical indicators for me are patient experience and safety ratings. Patient experience measures notify me of how other patients felt about the quality of service based on their assessment of their services. (Manary et al., 2013). The patient rating for Our Lady of Lourdes Heart Hospital is 90% for ratings of nine or ten. 92% of patients also said they would recommend the hospital to someone else. 82% of patients said that doctors at the hospital listened to them and explained things well. Under safety ratings, the hospital doctors are careful enough during surgery. Only two ratings we worse than expected, while nine were as expected and one better than expected. These ratings show that the hospital takes many precautions to ensure that patients are safeguarded from potential complications. In 2020, Our Lady of Lourdes won the Patient Safety Excellence Award, which is the top in the nation for providing excellence in patient safety by preventing infections, medical errors, and other preventable complications.
The safety ratings depict how much the hospital takes care of the patients’ health, safeguarding them from potential complications and medical errors. This is important to me because I will feel safer attending a hospital that ensures my safety. Patient experience is significant because I will potentially experience the same services that other patients before me at a hospital received.

Indicators to assess the risk of the Emergency Room

Track all hospital personnel attending to patient care using Electronic Health Records (EHRs)

This indicator ensures that nurses, doctors, and other staff; follow protocol and procedure in the treatment of the patient. Consequently, this will reduce the number of errors in the emergency room as following the due process required helps ensure that medical malpractice is controlled and prevented. Negligence during treatment that could cause potential suffering or harm to a patient is prevented by the implementation of the use of EHRs (Ben-Assuli et al., 2014)
This indicator can be measured by tracking the time signatures

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