Perform an Internet search to identify and research and a situation where a health care organization or individual provider in your field of allied health was sanctioned by The Joint Commission or other regulatory body for a violation of one or more of The Joint Commission workplace safety, risk management, and quality care requirements.
Taking the role of the Chief Safety or Risk Management Officer in the organization or a provider’s office who now must deliver an accounting of the incident to the board of directors, develop a slide presentation, containing a title slide, 12-15 slides of content, and a references slide, focusing on the chosen incident. Your presentation must incorporate the following:
- A brief summary of the incident , including a description as well as the outcome.
- A summary of the applicable Joint Commission and other (e.g., local, state) regulatory standards that apply to the incident.
- A discussion of the mistakes and/or oversights made by the health care organization or individual provider that did or may have led to the incident that occurred, and an accounting of the preventive steps that could have or should have been taken to avoid them.
- A proposal outlining specific education or training the organization or provider will employ to ensure this type of incident does not occur in the future. Include concepts related to continuous quality improvement in your recommendations.
To create your presentation you can use PowerPoint or a program such as Prezi (www.prezi.com). Speaker’s notes must be included for each individual slide.
You are required to use and cite a minimum of three qualified resources from the readings or the GCU Library in order to complete this assignment successfully.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Expert Solution Preview
Introduction:
The Joint Commission and other regulatory bodies have set workplace safety, risk management, and quality care requirements for healthcare organizations and providers. However, there are instances where violations occur, and sanctions are imposed. In this scenario, we are tasked to develop a slide presentation as the Chief Safety or Risk Management Officer, focusing on a specific incident involving a violation of The Joint Commission standards.
Answer:
The incident involved a patient who was administered the wrong medication due to the similarities in drug names. The outcome of the incident led to the patient developing adverse reactions and prolonged hospitalization.
The applicable Joint Commission and regulatory standards that apply to the incident include medication management, which involves the correct labeling, storage, administration, and disposal of medications. The Health Insurance Portability and Accountability Act also applies since it protects the confidentiality and privacy of patients’ medical records and information.
The root cause of the incident involved an oversight in the labeling of medications, which led to the administration of the wrong medication. A preventive step that could have been taken was to implement barcode medication administration (BCMA) technology that helps to match the right medication to the right patient. Furthermore, regular training for healthcare workers on medication administration protocols could help minimize human error.
To ensure that a similar incident does not occur in the future, education and training will be employed on the proper use of BCMA technology and medication management protocols. Continuous quality improvement concepts, such as performance measures and data analysis, can be used to monitor and evaluate the effectiveness of the education and training programs.
