Safety, Quality, And Informatics
Paper , Order, or Assignment Requirements

Write 8-10 pages in which you identify a major patient-safety issue within your own organization and use evidence-based best practices and technology to develop a plan to improve the safety issue.

Quality improvement and patient safety are central to the nursing leadership role.

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 2: Safety and Quality Practices – Incorporate concepts of patient safety, clinical management, and quality improvement to improve patient outcomes.
Describe a patient-safety issue.
Compare currently used organizational processes for handling patient safety issues with concepts, principles, and practices that contribute to quality improvement and patient safety.
Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
Recommend evidence-based interventions to address specific patient-safety issues.
Explain how technology can be used to improve patient safety.
Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.
Analyze the legal and ethical consequences of not addressing patient-safety issues.
Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing professional.
Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.
Identify organizational barriers to change.
Describe strategies to overcome organizational barriers to change.
Central to the nursing leadership role, quality improvement and patient safety are analyzed from many perspectives. Types of quality improvement and patient safety programs may range from internal, organization-based quality improvement team reports to external benchmarks from The Joint Commission, the Agency for Healthcare Research and Quality (AHRQ), MAGNET, and numerous other organizations.

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A landmark 2001 publication by the Institute of Medicine (IOM) identified the imperative to focus on quality care and patient safety. The initiative to create cultures of patient safety and quality care remain at the forefront of the health care leadership landscape. As a future nursing leader, you must understand the components and use of effective tools for successful quality improvement programs within your practice setting.

In this program, you have also examined the application of research and information technology in the nursing profession. Information systems and patient-care technologies have contributed in many ways to improved patient outcomes; however, safeguards, secure practices, and ethical standards are necessary to promote and support data security, patient confidentiality, and regulatory requirements. You have also investigated the effective use of patient-care technologies, communication systems, and information systems across the health-illness continuum.
To deepen your understanding, 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 the business community.

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How do external organizations analyze quality improvement?
questions to consider:
How can data from patient-safety initiatives
be used to help other organizations?
As you prepare for this assessment, complete the following:

Before you begin, examine your organization’s history of safety in a specific area and how your organization addresses patient safety issues. If possible, consult with a key stakeholder in the organization (such as an administrator) to better understand specific patient-safety concerns and how the organization is working to resolve the concerns. This person should also be able to discuss some of the organizational barriers impacting the patient safety issue.
Next, look at the basic concepts, principles, and practices that contribute to organizational quality improvement and patient safety. Review the literature for best practices and how technology might be used to improve the issue.
Finally, be sure to consider the legal and ethical implications associated with the safety issue, as well as possible organizational barriers to change.
Directions
As you construct this assessment, address each point as completely as possible:

Describe a patient-safety issue within your organization.
Compare the way your organization addresses patient-safety issues with the concepts, principles, and practices that contribute to quality improvement and patient safety.
Analyze the legal and ethical consequences of not addressing the issue.
Recommend evidence-based interventions to address the patient-safety issue.
Explain how technology can be used to improve the issue.
Identify possible organizational barriers to change (budget, vision, technology, et cetera).
Describe strategies to overcome organizational barriers to change, based on your knowledge of the organization.
Additional Requirements
Format: Include a title page and reference page. Use APA style and formatting.
Length: Ensure your completed assessment is 8-10 pages in length, not including the title page and reference page.
References: Cite at least five current scholarly or professional resources.
Font: Use double-spaced, 12-point, Times New Roman font.

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Case Studies and Discovery Questions
Paper , Order, or Assignment Requirements

1.You must answer one of the case study questions and one discovery question from the list.

Your answer needs to be a minimum of 250-words for each answer. Your answer must be substantive and bring in some kind of analysis that relates to the material. You also must engage others

While you are encouraged to use examples from personal experience, you should be looking for and including outside sources that you find addressing the topic at hand.

Case Studies and Discovery Questions, please pick one of each to answer

Case 1

A family practice clinic in a rural area is associated with a major academic medical center in an urban area 100 miles away. The clinic director plans to switch to electronic health records (EHRs). The community using the clinic opposes this move because people are concerned about their privacy. Do you implement the system over the objections of the community? What ethical principles and/or theories support your position?

Case 2

Harry is a 16 year old in need of a kidney transplant. His parents (Lydia and Ken), aunts, uncles and adult cousins all get tested for histocompatibility of the human leukocyte antigen (HLA). The transplant nephrologist learns two things as a result of the tests: (1) no one from the family is a suitable donor, and (2) Harry is not biologically related to Ken. The nephrologist was not checking for paternity; however, all biologically related parents share at least one HLA match with their children, and Ken has less than that. The hospital has an informal policy stating that unintended discovery of misattributed paternity will not be disclosed or entered in the patient record. Upon learning that there were no matches, Ken tells the nephrologist that he wants a copy of the records so that he can get a second opinion. Later, Lydia approaches the nephrologist and asks that the records not be given to Ken. What should the nephrologist do? What ethical principles and/or theories justify your answer?

Case 3

The board of a small community hospital is considering authorizing funds for the ACME telehealth program. This program can only be used by English-speaking patients and those with Internet access. People with sensory or motor disabilities would not be able to use the telehealth website. The cost would be prohibitive for the hospital to make telehealth accessible to everyone. Ethically justify the purchase of the ACME telehealth program or explain why it is not justifiable.

Case 4

Blackacre Hospital is upgrading its enterprise Acme ZenApp environment from version 6.8 to 7.5. Yesterday, your supervisor stopped by and instructed you to push out the apps on the new 7.5 environment. You tested the apps in question and they both ran without error in the upgraded environment and are confident that they will perform as in previous versions. In conducting due diligence you called various application vendors to get certification for their apps on the 7.5 environment, and you discover that two of Blackacre’s apps, the EKG and EEG apps, are not certified for ZenApp version 7.5 yet. The apps appeared to work based on your tests, but the vendor of the apps does not yet certify them for the ZenApp 7.5 environment upgrade. In these situations you have been trained to ask, “If we move them anyway, will you support us if we have issues?” The response from the EKG and EEG app vendor this time was a resounding, “No. Our contract clearly stipulates that we are not liable for uncertified use. ZenApp is a new release and we require time for proper testing.”

You report your findings to your boss who says, “It’s your responsibility to test them and they tested without error. The 6.8 and 7.5 versions are so similar that there will be no impact. I expect you to sanction the applications for production even though the vendor has not certified them — that’s what we’re paying you for.” Do you sanction use or not? What are the ethical justification for your answer and your next steps?

General Discovery Questions Pick one to answer

Describe at least two ways that health information technology has affected the clinician-patient relationship, for better or for worse. What are the ethical implications?

What are the roles and obligations of the following groups in selecting, testing, and implementing health information systems: vendors, purchasing organizations, providers who will use the system, patients, and other stakeholders who may be impacted by the new system?
Are decision-makers always better off with more information rather than less?

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Paper , Order, or Assignment Requirements

There are 3 questions that have been answered already. All I need is a response to the answers. A minimum of 5 sentences for question 2 and 3 response and for question 1 answer the questions.

Question 1

You are in charge of giving a trial final exam to classmates. Set up two problems from different areas of financial reporting that you studied in this course. (Feel free to use problems from your assigned textbook.) Submit them as your initial post as early as possible with any instructions or “hints.”

In your second post, solve two problems submitted by another classmate. In a third post, submit the answer key to your original two problems. Find the answer key in other posts for the two problems you solved. As you go along, interact with others about problems and solutions and any other challenges you are facing in financial reporting.

Respond to this… Problem 1

Fill in the blank for bonds payable:

Bond is a type of note in which the company agrees to pay the holder the face value of at _______.
_______ _______ is the rate at which the issuer of the bond agrees to pay interest until maturity.
The maturity date is the date that the issuer agrees to pay the holder the _______ value.
Fill in the blank for notes payable

Notes are recorded at their _________ ________.
________ ________ __________ is used to record interest.
Differences between cash proceeds and the present value of the note is recorded as ____________ __________. (2 words)

Problem 2

List two liquidity ratios.

1

2

List two Activity ratios.

1

2

List two profitability ratios.

1

2

List two coverage ratios.

1

2.

Question 2

There are two main types of strategies for cost that are in use today: product differentiation and cost leadership. Product differentiation leverages differences in the product to drive unique value to consumers and decrease the focus on costs per unit. Cost leadership, on the other hand, looks to reducing the costs of doing business to a point where the business carries the lowest costs in the industry.

Select one of these two strategies and share an example of how you would use it to decrease your overall costs and increase your revenues if you were CEO for a day.

Respond to this… Cost leadership is a firm’s ability to lower costs through improvements in productivity, becoming more efficient, controlling costs, and eliminating waste in order to have a competitive advantage in the market. Walmart is a great example of this strategy. Walmart is able to leverage their enormous buying power to drive costs down for products and within the supply chain. If I were CEO for a day I would first examine the area or department where costs are the highest. Perhaps production employees could benefit from training in quality-management techniques that will help them identify causes of defects and take action to eliminate them. I would look into reengineering the processes used to move raw materials and finished products to find steps that could be shortened or eliminated thus adding efficiency and increasing revenue in the process.

Question 3

Over the last ten weeks we conducted a broad exploration of the world of managment information systems. As noted in the week 01, “This class won’t make you a technical wizard”, but by now you should have a strong understanding of the role of infomation technology in business today. Take a moment and reflect on all you learned. Share with the class at least one new concept you found particularly insightful. Explain why it sparked your interest.

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International Management
Paper , Order, or Assignment Requirements

Question 1

Discuss three nonverbal differences you might encounter if you are transferred to manage a company in Rio de Janeiro, Brazil.

Your response must be at least 200 words in length

Question 2

Explain some of the differences in information systems in other countries and the effect those differences have on business relationships.

Your response must be at least 200 words in length

Question 3

Discuss the importance of understanding cultural differences when negotiating with people in another country.

Your response must be at least 200 words in length

Question 4

Explain how it is that people from different countries who speak the same language may still miscommunicate.

Your response must be at least 200 words in length

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