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Risk management uses certain documents to track incidents

Business

Risk management uses certain documents to track incidents. It will help you to become familiar with the kind of information that goes into these documents. This week, you will create and fill in a quality improvement chart for the high-risk area you selected in  ASSIGNMENT 4.

1. Design a chart to show the indicators, their measurements, and the expected and actual performance. Use the template to design your chart. Further, use 5 out of the 10 standards listed. Use the template below.

2. Select one of the fictional incidents you created last week. Describe the incident under  Status.

3. For this incident, complete the  Compliance section using fictitious data. The tracking of the indicators should correspond to the incident. That is, some failure of compliance may have led to the incident.

4. Develop a plan of correction to address the incident. Write a brief description under  Plan of Correction

Use the matrix below to design your quality improvement chart. Show all the indicators you selected in the chart.

 

Quality Improvement Activity Schedule

Standards

Severity of Risk

Performance Indicator

Level of Performance / Threshold

Compliance in Percent

Status

Plan of Correction

 

 

 

 

Qtr 1

Qtr 2

Qtr 3

Qtr 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Under standards, you may include areas such as the following:

IC: Surveillance, Prevention, and Control of Infection             HR: Management of Human Resources

EC: Management of the Environment of Care           IM: Management of Information

MM: Medication Management LD: Leadership

NPSG: National Patient Safety Goals         PI: Improving Organizational Performance

PC: Provision of Care, Treatment, and Services        RI: Ethics, Rights, and Responsibilities

Severity of risk may be designated as follows:

H: High risk              M/H: Medium/high risk            M: Medium risk        L: Low risk

Compliance (in percent) may be entered on a monthly, quarterly, bi-annual, or annual schedule. The matrix here shows quarterly compliance schedule. Adjust it as necessary.

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