For this assessment, you can use a supplied template to conduct a root-cause analysis. The completed assessment will be a scholarly paper focusing on a quality or safety issue pertaining to medication administration in a health care setting of your choice as well as a safety improvement plan.As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. The baccalaureate nurse's role as a leader is to create safety improvement plans as well as disseminate vital information to staff nurses and other health care professionals to protect patients and improve outcomes.As you prepare for this assessment, it would be an excellent choice to complete the Quality and Safety Improvement Plan Knowledge Base activity and to review the various assessment resources, all of which will help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities are not graded and demonstrate course engagement.Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze the elements of a successful quality improvement initiative.  Apply evidence-based and best-practice strategies to address a safety issue or sentinel event pertaining to medication administration. ; Create a viable, evidence-based safety improvement plan for safe medication administration.  Competency 2: Analyze factors that lead to patient safety risks.  Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. Competency 3: Identify organizational interventions to promote patient safety.  Identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.  Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style. Professional Context Nursing practice is governed by health care policies and procedures as well as state and national regulations developed to prevent problems. It is critical for nurses to participate in gathering and analyzing data to determine causes of patient safety issues, in solving problems, and in implementing quality improvements.Scenario For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan: The specific safety concern identified in your previous assessment pertaining to medication administration safety concerns. The readings, case studies, or a personal experience in which a sentinel event occurred surrounding an issue or concern with medication administration. Instructions The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern of medication administration safety based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.Use the Root-Cause Analysis and Improvement Plan [DOCX] template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. Apply evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration. Create a feasible, evidence-based safety improvement plan for safe medication administration. Identify organizational resources that could be leveraged to improve your plan for safe medication administration.

Answer the following questions specifically about Appendix A in Polit and Beck textbook pp. 329-345:What was the research problem? (1 sentence)Was the problem statement easy to locate and was it clearly stated? (2 sentences)Did the problem statement build a cogent and persuasive argument for the new study? Explain. (4 sentences)Does the problem have significance for nursing? Explain. (4 sentences)Was there a good fit between the research problem and the paradigm (and tradition) within which the research was conducted? Explain. (4 sentences)Did the report formally present a statement of purpose, research question, and/or hypotheses? (2 sentences)Was this information communicated clearly and concisely, and was it placed in a logical and useful location? Explain. (3 sentences)Were purpose statements or research questions worded appropriately (e.g., Were key concepts/variables identified and the population specified?) Explain. (4 sentences)If there were no formal hypotheses, was their absence justified? Explain. (3 sentences)Were statistical tests used in analyzing the data despite the absence of stated hypotheses? Explain. (4 sentences)Were hypotheses (if any) properly worded—did they state a predicted relationship between two or more variables? Explain. (4 sentences)Were they presented as research or as null hypotheses? (1 sentence)What might a hypothesis for this study be? State it as a research hypothesis and a null hypothesis. (3 sentences)Answer the following questions specifically about Appendix B in Polit and Beck textbook pp.347-362:What was the research problem? (1 sentence)Was the problem statement easy to locate and was it clearly stated? (3 sentences)Did the problem statement build a cogent and persuasive argument for the new study? Explain. (4 sentences)Does the problem have significance for nursing? Explain. (3 sentences)Was there a good fit between the research problem and the paradigm (and tradition) within which the research was conducted? Explain. (4 sentences)Did the report formally present a statement of purpose, research question, and/or hypotheses? (3 sentences)Was this information communicated clearly and concisely, and was it placed in a logical and useful location? Explain. (3 sentences)Were purpose statements or research questions worded appropriately (e.g., Were key concepts/variables identified and the population specified?) Explain. (3 sentences)If there were no formal hypotheses, was their absence justified? Explain. (3 sentences)Were statistical tests used in analyzing the data despite the absence of stated hypotheses? Explain. (3 sentences)Were hypotheses (if any) properly worded—did they state a predicted relationship between two or more variables? Explain. (3 sentences)Do you think that Beck and Watson provided a sufficient rationale for the significance of their research problem? Explain. (3 sentences)In their argument for their study, did Beck and Watson say anything about the fourth element of an argument identified in the book - i.e., the consequences of the problem? Explain. (4 sentences)