Question.3838 - Executive Summary to CEO[WLOs: 1, 2, 3] [CLOs: 1, 2, 3, 4, 5]Prior to beginning work on this assignment, Read the Writing Center Writing an Executive SummaryLinks to an external site. webpage. Read the CMHA-CEI Policies and Procedures Manual: 1.1.13, Sentinel Events Download CMHA-CEI Policies and Procedures Manual: 1.1.13, Sentinel Events. Read the Continuous Quality Improvement (CQI) Strategies to Optimize Your PracticeLinks to an external site. resource. Read the Medical Errors Nursing CE CourseLinks to an external site. webpage. Read the QUERI – Quality Enhancement Research Initiative: QUERI Implementation Roadmap Download QUERI – Quality Enhancement Research Initiative: QUERI Implementation Roadmapresource. Read the Sentinel Events CY2018: Annual Report to the Maine State LegislatureLinks to an external site.. Read the Six Steps for Successful Incident InvestigationLinks to an external site. webpage. Read the Tools: Cause and Effect DiagramLinks to an external site. website. Watch the following videos that describe the details included in a Fishbone Diagram Whiteboard: Cause and Effect DiagramLinks to an external site. , by Institute of Healthcare Improvement Quality (Part 2: Ishikawa Diagram)Links to an external site. , by Infinity MFG Read the Using Quality Improvement Methods for Evaluating Health CareLinks to an external site. article. For this written assignment, you will prepare an executive summary for the CEO using the same sentinel event addressed earlier in the course. This report will be prepared for the CEO of the organization where the sentinel event occurred. The CEO is then required to provide details from the executive summary to the Board of Trustees and other stakeholders in the organization to identify the next steps of managing the sentinel event.Managing a sentinel event usually consists of the following steps: immediate action, planning the investigation, data collection, data analysis, corrective action plan, and reporting to accreditation agencies. For this assignment, first, review details from the Week 2 and Week 3 discussions, including responses from peers, as well as instructor gradebook feedback. Then, you will focus on the parts below to develop a cohesive plan to address the sentinel event. Address the following in the Executive Summary to CEO template Download Executive Summary to CEO template.Part 1: The Sentinel Event Summarize the facts related to the sentinel event: Description of the event Staff involved Discuss the timeline events from initiation of the error through the resolution (will vary depending upon the sentinel event): When and/or where did the error occur? When was it detected? When was it reported and to whom? Evaluate procedural errors: Identify the point in time when the error should have been detected before it occurred. What part of the process or procedure was missed that contributed to the sentinel event? Analyze accreditation agency (e.g., OSHA, ACHA, CMS, CDC, CLIA, TJC, AHCA, state agencies) requirements: Identify which agency(s) would be involved Define the agency’s purpose Discuss the agency’s reporting expectations based on the incident Part 2: Root Cause Analysis: Fishbone Diagram Create a fishbone diagram Download fishbone diagram. You will be responsible for creating the CQI Tool (fishbone), completing the tool, copying or taking a screenshot of the completed work, and pasting the completed fishbone diagram into the final document. If you are unfamiliar with the fishbone, please refer to the Using Quality Improvement Methods for Evaluating Health CareLinks to an external site. article by Siriwardena (2009). In addition, as a learning resource, the CQI tool listed below is hyperlinked to the Institute for Health Care Improvement website, which discusses and illustrates an example of the Fishbone. Tools: Cause and Effect DiagramLinks to an external site. Part 3: Root Cause Analysis Report Create a root cause analysis. Identify the data you would collect to determine the cause. Give your rationale for choosing the data. Identify the probable cause, which may include a process failure, human error, cultural biases, policy error, systems error, technology failure, etc., that may have contributed to the sentinel event. Consider the following as applicable to your chosen event as you complete this segment: What human factors were relevant to the outcome? What process errors were relevant to the outcome? Were there any steps in the process that did not occur as intended? How did the equipment performance affect the outcome? What are the other areas in the health care organization where this could happen? Did staff performance during the event meet the expectations? Develop a corrective action plan that is geared towards eliminating future events. Explain the steps of implementing the corrective action plan. Consider the following in developing your response to this component: Identify risk reduction strategies Improvement of processes or systems Communication barriers—for example, discuss the communication breakdown that might have contributed to the sentinel event, or what barriers may have occurred to cause the breakdown in communication (e.g., residual intimidation, reluctance to report a coworker, missing information at time of transition of care, etc.). Training (e.g., orientation, professional development, cultural competency, skills training, in-service) Equipment (e.g., technology, maintenance, and updates) Policies and procedures (e.g., new or revised) Describe the monitoring process that will be used to evaluate the success of the corrective action plan. Analyze the components that may require the reallocation of budgetary resources. Consider the following as applicable to your sentinel event: Legal action Public relations (reputation leading to decreased revenue) Equipment and supplies Training and education Patient-centered communication methods (e.g., informed consent, procedural education, patient involvement [identify or mark the location of the surgical site]) Staffing (e.g., reallocating staff, role responsibilities, hiring temporary or permanent staff) Paper requirements:The Executive Summary to CEO capstone assignment Must be a minimum of 10 double-spaced pages in length (not including title and references pages) and formatted according to APA StyleLinks to an external site. as outlined in the Writing Center’s APA Formatting for Microsoft WordLinks to an external site. resource. Must include a separate title page with the following: Title of paper Student’s name University of Arizona Global Campus Course name and number Instructor’s name Date submitted Must utilize academic voice. See the Academic Voice
Answer Below:
Introduction xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx This xxxxxxxxxx will xx based xx the xxxxxxxxxx and xxxxxxxxxxx of xxxxxxxx events xxxx occurred xx the xxxxxxxxxx institution xxxxx on xxxx scenario xxxx cause xxxxxxxx through xxx Fishbone xxxxxxx and xxx report xxxxxxxxxx would xx focused xxxxx exploring xxx probable xxxxxx other xxxxx at xxxx and xxxxx performance xxxxxxxxxx In xxxxx with xxxx a xxxxxxxx event xx regarded xx an xxxxxxxxxxxxx event xxxxxx the xxxxxxxxxx setting xxxx affects xxxxxx death xx serious xxxxxxxx or xxxxxxxxxxxxx injury xx the xxxxxxx For xxxxxxxx a xxxxxxxx event xx affected xx anything xxxxxxxxx the xxxxxxxxxx surgery xxxxxxxxxx error xxxxx in xxxxxxxxx patient xxxx patient xxxxx or xxxxxx in xxxxxxxxxx transfusion xxxxx and xxxx more xxxx could xx evaluated xxxxxxx this xxxxxxxxxx nbsp xxxx The xxxxxxxx EventIn xxxx sentinel xxxxx A xxxxxxx had xxxx affected xx a xxxxxxxxxxx central xxxxxx catheter xxx insertion xxx to x nosocomial xxxxxxxxx His xxxxxx was xxxxxxxx by xxx sentinel xxxxx which xxx to xxxxxxx repercussions xxxxxxxxx organ xxxxxx sepsis xxx extended xxxxxxxxxxxxxxx The xxxxxxx rsquo x family xxx been xxxx affected xxxxxxxx emotionally xxx financially xx addition xx their xxxxxxxx condition xx consideration xx this xxxxxxxx event xxxxx it xx essential xx focus xx the xxxxxxxxx and xxxxxxxxxx of xxxx incidents xx the xxxxxx Description xx the xxxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxx incorrect xxxxxxxxx of x CVC x frequent xxx invasive xxxxxxxxx used xx give xxxxxxxxxx fluids xx blood xxxxxxx was xxx sentinel xxxxx In xxxxx to xxxxx infections xxx operation xxxxxxxxxxxx rigorous xxxxxxxxx to xxxxxxx methods xx this xxxxxxxx the xxxxxxxxxxxx was xxxxxxx out xxxxxxx following xxx correct xxxxxxxxxxxxx procedures x nosocomial xxxxxxxxx results xxxx the xxxxxxxxxxxx of xxxxx into xxx patient xxxxx s xxxxxxxxxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxxxxx side xxxxxxx from xxx illness xxxxxxxx fever xxx blood xxxxxxxx and xx increased xxxxx blood xxxx count xxx of xxxxx were xxxxx of xxxxxx In xxxxx to xxxxxxx the xxxxxxxxx and xxxx future xxxxxxxxx the xxxxxxxxx necessitated xxxxxxxxx medical xxxxxxxxxxxx including xxxxxxxxxx care xxx antibiotics xxxx sentinel xxxxx could xxxx to xxxxxxx issues xxx only xxx the xxxxxxx but xxxx for xxx families xxxx where x hike xx medical xxxxxxxx a xxxxxx hospital xxxx and xxxxxxxxx concern xxxxxxxx of xxxxxxxxxxxxxxx The xxx or xxxxxxx venous xxxxxxxx was xxxxxx without xxxxxxxxx the xxxxxxxxx sterile xxxxxxxxxx Various xxxxxxx such xx the xxxxx workload xxxxxxxxxx training xx a xxxxxxxxx for xxxxxxxx occurred xxxxxx a xxxxxx of xxxxxxx or xxxxxxxxx preparation xxxxxxxxx After xx days xx the xxxxxxxx the xxxxxxxxx was xxxxxxxxx the xxxxxxxx event xxx detected xxxx occurred xxxxx the xxxxxxx exhibited xxxxx of x bloodstream xxxxxxxxx including xxxxx chills xxx a xxxx in xxxxx pressure xxxxxxxxx The xxxxxxxxx control xxxx at xxx healthcare xxxxxxxxxxxx and xxx attending xxxxxxxxx had xxxx notified xx the xxxxxxxx incident xxxx the xxxxxxxxxxxxxx of xxxxxxxxx and xxxxxx After xxxx the xxxxxx was xxxxxxxxx to xxx quality xxxxxxxxx division xxx more xxxxxxxxxxx and xxxxxxxx As xx is xxxxxxxxx for xxx sentinel xxxxx impacting xxxxxxx safety xxx incident xxx also xxxxxxxx in xxx hospital xxxxx s xxxxxxxx reporting xxxxxx Resolution xxxxxxx Initially xxx patient xxxxx s xxxxxxxxx was xxxxxxxxxx with xxxxxxxxxx care xxx antibiotic xxxxxxx The xxxxxxxx started x formal xxxxx into xxx event xxxxx s xxxxxxxxxx causes xxxxx stabilization xx order xx stop xx from xxxxxxxxx again xxxxxxxxxx errors xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx Examining xxxxxxxxxx mistakes xx essential xx comprehend xxx the xxxxxxxx event xxxxxxxxxx The xxxx problem xx this xxxxxxxx was xxxx the xxx insertion xxx not xxxx using xxxxxxx methods xxxxx are xxxxxxx reasons xxx this xxxxxxx including xxxxxx detection xxxxxx deviations xxxx protocol xxx issues xx maintaining xxxxxxx equipment xxxxxxxxx Apart xxxx this xxxxxxx gaps xxx even xxxxxxxxxx with xxxxxxx contributing xx the xxxxxxxxx in xxxxxxxx adherence xxxxxxxxx training xxxxxxxxxxxx staffing xxxxxx and xxxxxxxxx issues xxxxxxxxxxxxx Agency xxxxxxxxxxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxxxxxxxx for xxxxxxxx sentinel xxxxxxxxx are xxxxxxxxx from xxxxxxx regulatory xxx accrediting xxxxxxxxxxxxx These xxxxxxxxxxxxx such xx The xxxxx Commission xxxxxxx for xxxxxxxx amp xxxxxxxx Services xxx and xxxxx Health xxxxxxxxxxx set xxxxxxxxxx for xxxxxxxxx prevention xxxxxxx enhancement xxx healthcare xxxxxx The xxxxx Commission xxx is xx organization xx the xx based xx the xxxxxxxx of xxxxxxxx sentinel xxxxxx to xxxxxxx patient xxxxxx and xxxxxxxxxx quality xxxx the xxxxxxxxxxx of xxxxxxxx healthcare xxxxxxxxxxxx through xxxxxxxxxxxxx and xxxxxxxxxxxxx The xxxxx Commission x d xxxx organization xxxxxxx on x comprehensive xxxx cause xxxxxxxx of xxx sentinel xxxxx where xxx execution xx a xxxxxxxx action xxxx and xxxxxxxxxx monitoring xxxxxxxxx of xxx problem xxxx not xxxxxx Centers xxx Medicare xxx Medicaid xxxxxxxx CMS xxx CMS xx the xxxxxxx agency xx the xx that xxxxxxxx health xxxxxxxx as xx works xx partnership xxxx the xxxxxx healthcare xxxxxxxxx for xxx improvement xx quality xxxxxxx equity xxx outcomes xx the xxxxxxxxxx system xxx n x Centers xxx Disease xxxxxxx and xxxxxxxxxx CDC xxx CDC xxx been x government xxxxxx that xxxxxxx on xxxxxxxxxx guidelines xxxxxxx the xxxxxxxxxx of xxxxxxxxx and xxxxxxx in xxxxxxxxxx settings xxxxxxxxx the xxxxxxxx for xxx management xx sentinel xxxxxx is xxxxx on xxx notification xxxxxx where xxxxxx applies xxxxxxxxxxx agreement xxxxxxx and xxxxxxxxx support xx the xxxxx health xxxxxxxxxx and xxxxxxxxxxx healthcare xxxxxxxxxxxxx CDC xxxx Root xxxxx Analysis xxxxxxxx DiagramFigure xxxxxxxx DiagramPart xxxx Cause xxxxxxxx ReportData xxxxxxxxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xx order xx determine xxx cause xx this xxxxxxxx event xxxx collection xx highly xxxxxxxxx where xx could xx collected xxxxxxx incident xxxxxxx staff xxxxxxxxxx patient xxxxxxx and xxxxxxxxx logs xxxx could xxxxxxx insights xxxx procedural xxxxxxxxxx equipment xxxxxxxxxxx and xxxxx behavior xxxx will xxxxx a xxxxxxxx analysis xx the xxxxxxxx event xxxxx s xxxx causes xx this xxxxxxxx detailed xxxxxxx with xxx documents xx procedural xxxxx personnel xxxxxxxx and xxx deviations xxxx standard xxxxxxxxx can xxxx to xxxx a xxxxxxxx event xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx Apart xxxx this xxxx could xx collected xxxxxxx pre-procedure xxxxxxxxxx and xxxxxxxxxx supervision xx the xxxxxx staff xxxxxxx In xxxx scenario xxxxxxxxx maintenance xxxxxxxxx for xxxxxxxxxxxxx equipment xxxxx have xxx to xxxxxxxx sterilization xx the xxxxxxxxxxx However xxxx this xxxxxxxx from xxx accreditation xxxxxx requirements xxxxxx evaluation xx essential xxxx may xxxx contributed xx inconsistent xxxxxxxxx and xxxxx required xxxxxxxxxx of xxxxxxxx through xxxxxxxxx prevention xxx control xxxxxxxx Causes xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx From xxx sentinel xxxxx it xxxxx be xxxxxxxxx that xxxxxxx factors xxxxxxxxx human xxxxx process xxxxxxx equipment xxxxxxxxxxx issues xxx policy xxxx may xxxx to xxx issue xx nosocomial xxxxxxxxx Wocher xxxxxxxxx that x rigorous xxxx cause xxxxxxxx of xxx event xx diagnosis xx a xxxxxxxx event xx essential xxx in xxxxxx decades xxxxxxxxxxxx efforts xxxx been xxxxxxx to xxxxxxxxx patient xxxxxx In xxxxx with xxxx a xxxx cause xxxxxxxx performed xxxxxxx on xxxxxxxxxx the xxxxxxx and xxxxxxxxxxx the xxxxx related xx stress xx a xxxxxxx duty xxx inappropriate xxxxxxxx Based xx this xxxxxxxx in xxxx sentinel xxxxx it xxx been xxxxxxx that x deviation xxxx the xxxxxxxxxxx aseptic xxxxxxxx either xxx to x lack xx appropriate xxxxxxxx or x lapse xx the xxxxxxxx may xxxx led xx the xxxxx On xxx other xxxx policies xxxxxxxxxx where xxxx of xxxxxxxx supervision xx junior xxxxx members xxxxx doing x CVC xxxx is xxxxxxxxx for xxxxxxxxxxx medication xxx other xxxxxxxxxx Similarly x policy xxx could xx one xx the xxxxx reasons xx outdated xxxxxxxx on xxxxxxxxx control xxx prevention xxx contribute xx inconsistent xxxxxxxxx In xxxx scenario xxxx the xxx and xxx focus xx corrective xxxxxxxx that xxx address xxx contributing xxxxxxx in xxxxxxxxxx future xxxxxxxxx CMS x d xxxx Other xxxxx at xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxxx from xxx risks xx human xxxxxx process xxxxxxx equipment xxxxxxxxxxx issues xxx policy xxxx other xxxxxx may xxxx extend xxx risk xx similar xxxxxx in xxx healthcare xxxxxxxxxxx For xxxxxxxx biases xxxxxxxx complications xxxxxxxxxx issues xxx other xxxxxxxx causes xxx cause xxxx wrongful xxxxxxxxxxx in x sentinel xxxxx Rossmo xxx Pollock xxxx it xx crucial xx evaluate xxxx any xxxxxxxxxxxx adherence xx the xxxxxxx protocol xxxxx be xxxxx to xxxx errors xxxxxxx to xxxxxxxx events xxxx in xxx sentinel xxxxxx event xxxxxxxxxx may xxxxxxx the xxxxxxx for xxxxxxxxxxxxx or xxxxxxxxxx hygiene xxxxxxx or xxxxx as x warning xxxxxx including xxxxxxxxx substitution xxxxxxxxxxx control xxxxxxxx protection xx medical xxxx may xx required xxxxxxxx et xx These xxxxx sets xx probable xxxxxx hence xxxxxx the xxxxxx of xxxxxxxx health xxxxxx with xxx conditions xxxx may xxxxxx the xxxxxxx in xxxxxxxxx damage xx even xxxxx Staff xxxxxxxxxxx Evaluation xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx In xxxxx to xxxxxxxx the xxxxxxx root xxxxx of xxx disease xx sentinel xxxxxx event xx is xxxxxxxxx to xxxxx on xxxxxxxxxx staff xxxxxxxxxxx that xxxxxxxx deviations xxxx expected xxxxxxxxx such xx pre-checked xxxxxxxxx hygiene xxxxxxxxx and xxxxx policy xxxxxxxxxx There xxx been x need xxx targeted xxxxxxxx reinforcing xxxx practices xxx improving xxxxxxxxx to xxxxxx standards xxxx Corrective xxxxxx PlanSteps xx Eliminate xxxxxx Events xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx According xx the xxx the xxxxxxxxxxx of xxxxxxxx events xx future xxxxxx requires x notification xxxxxx for xxxxxxxxxxxx risk xxxxxxxx that xxxx been xxxxx on xxxxxxxx and xxxxxxxxxxx occupational xxxxxxx and xxxxxx surveillance xxxxxxxx within xxxxx health xxxxxxxxxxx Similarly xxx even xxxxxxx on xxx development xx careful xxxxxxxxxxxxx and xxxxxxxx of xxxxxxx safety xxxxxx as xxxx as xx focuses xx evaluating xxxxxxxxxx actions xxxx could xx essential xxx reducing xxxx and xxxxxxxxxx patient xxxx In xxxxx with xxxx the xxxxxxxxxxxxxx of xxxxxxxxxxxx failures xxx risk xxxxxxx that xxxx to xx adverse xxxxx could xx developed xx prevent xxxxxxx errors xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx Thus xxxxx on xxx policies xxx accreditation xxxxxxxxxxxx evaluation xxxxxxxxxx for xxxxxxxxxxx future xxxxxx require xxxxxxx improvements xxxxxxxx training xxxxxxxx equipment xxxxxxxx policy xxxxxxx and xxxxxxxxxxxxx enhancements xx auml xxxxxx et xx In xxxxx with xxxx process xxxxxxxxxxxx should xx based xx the xxxxxxxxxxx application xxx understanding xx standardization xx sterile xxxxxxxxxx enhanced xxxxxxxxxxxxx verification xxx post-procedure xxxxxxxxxx protocols xxxx could xxxxxxxxxx monitoring xxxxxxxxx ensuring xxx signs xx infection xxxx detection xxx reporting xxxxxxxx with xxxxx escalation xxxxxxxxxx for xxxxxxxxx follow-up xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx Similarly xxx the xxxxxxxxxx institution x training xxxxxxx could xx mandated xxxxxxx simulation-based xxxxxxxx and xxxxxxxxxx training xxx supervisors xxxx could xxxxxxx targeted xxxxxxxx for xxxxxxxx supervision xx the xxxxx hand xxxxxxxxx and xxxxxx updates xxxxx be xxxxx on xxxxxxxxxxxx a xxxxxxx maintenance xxxxxxxx for xxx sterilization xxx medical xxxxxxxxx used xxxxxx invasive xxxxxxxxxx such xx the xxx Considering xxxxx approaches xx is xxxxxxxxx to xxxxx on xxxxxx revision xxxxxxxxx updating xxxxxxxxx control xxxxxxxx such xx SENSOR xxxxxxxxx by xxx CDC xxx the xxx code xx sentinel xxxxxx events xx the xxxxx Commission xxx n x However xx is xxxxxxxxx in xxxxx step xx consider xxx patterns xx communication xxxxxxxx that xxx affect xxxxxxxxxx procedures xxxx communication xxxxxxxxxx could xx strengthened xx encouraging x safety xxxxxxx anonymous xxxxxxxxx channels xxx interdisciplinary xxxx meetings xxxxxxxxx procedures xxx sharing xxxxxxxx Implementation xxxxx Phases xxxxx Events xxxxxxxxxxx Planning xxxxx In xxxx month xx would xx essential xxx the xxxxxxxxxx leaders xx focus xx developing x corrective xxxxxx plan xxxxxxxxxxxxxx Here xxxxxxxxxx a xxxxxxxx project xxxxxxxx for xxxxxxxxxxxx each xxxxxxxxxx measure xxx assigning xxxxxxxxxxxxxxxx to xxxxxxxx team xxxxxxx Training xxx Policy xxxxxxx - xxxxxx Here xxxxxxx out xxx training xxxxxxxx and xxxxxxxxx mandatory xxxxxxxx for xxxxxxxx staff xxxx it xxxxx be xxxxxxxxx to xxxxx on xxxxxxxx the xxxxxxxxx control xxxxxx and xxxxxxxx the xxxxxxxxxx staff xxxxxxxxxxx Equipment xxxxxxxx and xxxxxxx changes x months xxxx considering xxx training xxx policy xxxxxxxx equipment xxxxxx be xxxxxxxx and xxxxxxxxx require xxxxxxxxxxx changes xx installing xxx sterilization xxxxxxxxx and xxxxxxxx the xxxxx accordingly xxxxxxxxxx and xxxxxxxxx - xxxxxx Considering xxx the xxxxxxx steps xxx final xxxxxxxx should xx based xx conducting xxxxxxx audits xxx assessments xxx evaluating xxxxxxxxx to xxx new xxxxxxxxx in xxxxxx effective xxxxxxx Table xxxxxxxxxxxxxx plan xxxxxxxxxxxxxxx and xxxxxxxxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxxxxx evaluated xxxxxxxx and xxxxxxxxxx any xxxxxxxx events xxxxx on xxx five xxxxxx of xxxxxxxx measuring xxxxxxxxx improving xxx controlling xxx future xxxxx In xxxxx with xxxx to xxxxxx the xxxxxxxxxxxxx of xxx corrective xxxxxx plan xxx following xxxxxxx could xx applied xx continuous xxxxxxxxxx and xxxxxxxxxx including xxxxxxxx tracking xxxxxxx audits xxx spot xxxxxx staff xxxxxxxxxx assessments xxxxxxxx collection xxx outcome xxxxxxx and xxxxxxxxx By xxx implementation xx this xxxxxxxxxx action xxxx the xxxxxxxxxxxx aims xx significantly xxxxxx the xxxx of xxxxxx sentinel xxxxxx and xxxxxxx overall xxxxxxx safety xxxx Budgetary xxxxxxxxxxxxxxxxx following xxxxxxxx outlines xxx budgetary xxxxxxxxxxxx for xxx implementation xx the xxxxxxxxxx action xxxx and xxxxxxxx the xxxxxxxxx impact xx sentinel xxxxxx events xxxx the xxxxxxxx allocation xxxxx to xx broken xxxx considering xxx vision xx legal xxxxxxx managing xxx sentinel xxxxxx events xxx insurance xx the xxxxxxxx patient xxxxxx relations xxxxxxxxx upgrades xxxxxxxx patient xxxxxxxxxxxxx and xxxxxxxx Apart xxxx this xxxxxx planning xxx reducing xxx risk xx sentinel xxxxxx events xxxxx to xx even xxxxxxx in xxxx budget xxxxxx allocation xxxxx in xxx Legal xxxxxxx and xxxxxxxxx costs xxxxxx relations xxx reputation xxxxxxxxxx Equipment xxxxxxxx and xxxxxxxxxxx Training xxx Staff xxxxxxxxxxx Patient xxxxxxxxxxxxx and xxxxxxx Staffing xxxxxxxxxxxxx and xxxxxxx Monitoring xxx evaluation xxxxx Contingency xxxx Total xxxxx BudgetConclusion xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx It xxx be xxxxx concluded xxxx managing xxxxxxxx health xxxxxx could xxxxxxx appropriate xxxxxxxxxx and xxxxxxxxxx to xxxxxxx the xxxxxxx risks xx the xxxxxxx and xx future xxxxxx Budgetary xxxxxxxxxxxxx must xx carefully xxxxxxxxxx when xxxxxxxx the xxxxxxxx event's xxxxxxx and xxxxxxx a xxxxxxxxxx action xxxx into xxxxxx In xxxxx to xxx for xxxxx actions xxxxxx relations xxxxxxxxx upgrades xxxxxxxx patient xxxxxxxxxxxxx and xxxxxxxx the xxxxxxxxxxxx must xxxxxx spend xxx resources xxxxxxxxxxx the xxxxxxxxxxxxxx stability xxx reputation xxxxxxxx striking x balance xxxxxxx short-term xxxxxxxxx impacts xxx long-term xxxxxxxxxxx in xxxxxx and xxxxxxx development xxxx nbsp xxxxxxxxxxxxxxx CMS xxx n x https xxx cms xxx about-cmsCDC xxx - xxxxx Worker xxxxxx charts xxx gov xxxxx wwwn xxx gov xxxxxxxxx source xxxxxxxx auml xxxxxx M xxxxx D xxxxxx L xxxxx M x Staehelin x Zoller x amp xxxxxx A xxxxxxxxxx incidents xx primary xxxx medicine x prospective xxxxx in xxx Swiss xxxxxxxx Surveillance xxxxxxx Sentinella xxx open x Johnson x M xxxxxxxx Event xxxxxxxxxx Model x Performance xxxxxxxxxxx Project xxxxxx D x amp xxxxxxx J x Confirmation xxxx and xxxxx systemic xxxxxx of xxxxxxxx convictions x sentinel xxxxxx perspective xxxxx Rutstein x D xxxxxx R x Frazier x M xxxxxxxx W x Melius x M xxx Sestito x P xxxxxxxx Health xxxxxx occupational x basis xxx physician xxxxxxxxxxx and xxxxxx health xxxxxxxxxxxx American xxxxxxx of xxxxxx health x The xxxxx Commission x d x trusted xxxxxxx in xxxxxxx care xxxxx www xxxxxxxxxxxxxxx org xxxxxx J x The xxxxxxxxxx of x rigorous xxxx cause xxxxxxxx RCA xxx healthcare xxxxxxxx events xxxxxxxxxxxxxxx -More Articles From Health
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