Reference no: EM133139642 , Length: word count:6000
ESSAY 1
An accident has occurred because of the wrong administration of a chemotherapy drug to a patient. This wrong route (intrathecally instead of intravenously) has provoked the death of the patient. The hospital administration would like to prepare a risk management plan for this chemotherapy drug which should be administered intravenously and not intrathecally.
As a Quality facilitator, you are asked to prepare a literature review to propose a quality management approach to avoid the wrong administration of chemotherapy.
Develop a root-cause analysis: discuss the major causes behind medication errors and the causes behind the wrong way of drug administration (Intrathecally instead of Intravenously).
To summarize your findings please propose two Ishikawa diagrams:
• one for causes which lead to the medication's errors
• one for specific causes which lead to a wrong administration of a chemotherapy
Present the method: Failure Mode and Effect Analysis (FMEA):
• Explain how the FMEA, as a proactive method, can be useful to analyse the risks and identify potential failures before they happen.
• Propose a risk management plan including preventive measures.
• Propose maps showing the workflow of: Patient reception chemotherapy drug preparation and administration to the patient.
• Propose general quality improvement tools for the department.
word limit (3000)
ESSAY 2
A recent patient satisfaction survey showed that the Emergency Department (ED) received very poor ratings from patients and users. The ED has several long-standing problems: (I)Overcrowding, (ii)extended length of stay, (iii)prolonged waiting time, (iv)excessive patient flow time, (v)patients who leave without being treated. As head of Quality Assurance and improvement of your hospital, you have been allocated to prepare a literature review in order to propose a suitable methodological approach. Your work is needed to provide scientific orientation and evidence on how the process improvement methodologies can be used to understand and fight these problems in the ED.
Your study should include the following:
• The objective of your literature review.
• A definition of the long-standing problems mentioned above.
• The potential roots of the long-standing problems in the emergency department
Use a Fishbone Diagram to represent your findings.
Analyse your findings. Presentation of the six sigma DMAIC as quality measurement and improvement methodology: Define and describe the method, its steps, explain how it can help to decrease the overcrowding in the emergency departments. New process flowchart for the Emergency department. Presentation of the importance of clinical governance implementation in the department.
APA Referencing style must be used when referencing the essays. All work must be referenced correctly and appropriately.
The essays should not be plagiarized and should include an introduction, discussion and analyses, conclusion, presentation and referencing.
Word limit (3000)