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NSG468 Influencing Quality Within Healthcare

Week 1 Discussion

Chasing Zero

You watched the Chasing Zero: Winning the War on Healthcare Harm. Think about the profound effect the care these families received had on the future of so many people.

Respond to the following in a minimum of 175 words:

How do you positively or negatively affect the quality and safety of the care your patients receive?

Think of two specific cases or examples you or your organization may have experienced or might experience.

What actions have you or could you take in your organization to avoid the situation(s)?


NSG468 Influencing Quality Within Healthcare

Week 2 Discussion

Role of Regulation and Accreditation in Quality

Respond to the following in a minimum of 175 words:

How do regulations and accreditation help enforce quality healthcare? Discuss ways in which they help to improve the healthcare system.


NSG468 Influencing Quality Within Healthcare

Week 3 Discussion

Regulation vs. Accreditation

Respond to the following in a minimum of 175 words:

What are the key differences between regulation and accreditation?

Which accreditation standards and regulations are most commonly cited or used in your practice setting or one that you are most interested in working?


NSG468 Influencing Quality Within Healthcare

Week 4 Discussion

Quality Factors

Respond to the following in a minimum of 175 words:

What factors do you see in practice that influence safe, quality, patient-centered care?

Have those factors shifted or changed as your role as an RN has progressed or changed?

Do you think the factors will continue to change?

What factors do you see affecting safe, quality, patient-centered care in 10 years?


NSG468 Influencing Quality Within Healthcare

Week 5 Discussion

Multifactorial Medication Mishap RCA

Review the Multifactorial Medication Mishap case study and the commentary that follows.

Respond to the following in a minimum of 175 words:

Explain why a root cause analysis was appropriate for this situation.

Analyze the impact of using tools such as RCA, FMEA, and PDSA on the quality and safety of patient care.


NSG468 Influencing Quality Within Healthcare

Week 1 Assignment

Summative Assessment: Quality Improvement for Patient Safety

The Scenario

In an effort to continuously improve quality and safety, your manager has asked you to share one example of patient care from your experience. Your and other team members’ submissions will be used to help facilitate an upcoming training.

In a 700- to 875-word case study, address the following:

Identify a patient care case from your own practice experience that involves quality and safety. Note:?If you are not practicing or have not practiced, use a case that has received media attention or one from the textbook.

Summarize the situation.

Describe your (or the nurse’s) role in the patient care situation.

Explain the role the patient played in their own quality- or safety-related situation.

Evaluate the relationship between the patient’s care and the outcome.

Identify how the care environment affected the situation, including the nurse or provider, the patient, and the outcome.

Determine whether a quality model was employed. If yes, identify and explain it. If not, identify one that could have improved the situation.

Explain what actions you might take to improve the outcome or prevent an adverse outcome in the future.



NSG468 Influencing Quality Within Healthcare

Week 2Assignment

Healthcare Accreditation

Practice – Healthcare Accreditation

Healthcare systems and patients benefit from accreditation standards. Many accrediting bodies are represented in various practice settings. This activity is designed to expose you to some of the major aspects of accreditation and see how it affects quality and safety.

Explore The Joint Commission and the?Commission on Accreditation of Rehabilitation Facilities?(CARF) sites to understand what standards these accreditors require participants to meet. Consider:

History and original purpose for creation

Purpose for existence now—how has it evolved?

Where the requirements for each agency are publicly reported

Why public reporting of metrics is important

How each body operates

Although we focused on CARF and The Joint Commission in this activity, there are many other accrediting bodies to consider:

Accreditation Association for Ambulatory Health Care (AAAHC)

Accreditation Commission for Health Care, Inc. (ACHC)

American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)

American Osteopathic Association Healthcare Facilities Accreditation Program (AOA/HFAP)

Center for Improvement in Healthcare Quality (CIHQ)

Community Health Accreditation Program (CHAP)

Det Norske Veritas Healthcare (DNV Healthcare)


NSG468 Influencing Quality Within Healthcare

Week 3Assignment

Interprofessional Collaboration

This assignment is designed to give you a greater understanding of regulatory agencies and accreditation bodies, including their functions, public reporting requirements, and how they impact quality and safety. This will help you to recognize how different bodies collaborate for optimum functioning.

Select and?evaluate a regulatory agency or accrediting body.

Discuss the history of the agency or body.

Explain the reason for its existence.

Summarize the agency’s public reporting of quality indicators:


Where they are reported

Why public reporting of these metrics is important

Explain how the agency or body operates:

Current function

Organizational structure


Analyze the impact the agency or body has on quality at each level of healthcare:

Healthcare organizations 

Nursing practice

Patient care


NSG468 Influencing Quality Within Healthcare

Week 3 Assignment

QSEN Institute

Practice – QSEN Institute

As we have discussed previously in your program, the Quality and Safety Education for Nurses (QSEN) Institute looks to improve the quality and safety of patient care through education.

Review the QSEN Competencies to remind yourself about how they drive quality by explaining the knowledge, skills, and attitudes nurses need to thrive in a changing healthcare environment.

Look at Table 2 in “Quality and Safety Education for Nurses (QSEN): The Key Is Systems Thinking” from this week’s University Library Resources. As you review the table, consider the following question:

How is the systems thinking in the article linked to the work of regulators and accreditors to drive quality and safety?


NSG468 Influencing Quality Within Healthcare

Week 5 Assignment

Organization and Systems Leadership

This assessment is aimed at evaluating the skills you acquired in patient care, big data and technology, decision making, ethics, and leadership in nursing practice.

For this assessment, you are asked to conduct a critical review of 5 factors and how they affect quality patient care. You are providing this information in a report that will be shared with executives who are seeking ways of understanding how to build a culture that supports patient safety and provides the needed tools (technology).

Evaluate factors that influence quality, safe, patient-centered care.





Shared decision making

Laws, regulations, and policies

Analyze changes in technology and their effect on quality patient care.

Explain the roles of communication, collaboration, and shared decision making.

Consider communication and collaboration between healthcare team members, between the patient and staff, and involving insurance companies.

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