Module 3 | Case Study
Patient Safety Event Case Study
Overview
Apply patient safety concepts to real-life clinical scenarios.
Instructions
Choose one of the following case studies from AHRQ’s Patient Safety Network A Tale of Two Falls Download AHRQ’s Patient Safety Network A Tale of Two Falls.
- Write a 2–3 page analysis (excluding title and references pages). Your paper should address the following in your own words:
- Summary of the patient safety event
- Contributing factors
- How human factors influenced the event (e.g. Teamwork or Communication)
- Describe how this case could have been handled differently. How would you, as the nurse, have responded to this event?
- Provide two examples of interventions or strategies from the case that can be used to prevent future errors.
Due
- Date: See due date listed at the top of the assignment page.
- Time: By 11:59 p.m. of the assignment due date.
Submission and Assessment Guidelines
- Create a document with your name, date, and course number.
- Include a minimum of 2 scholarly references in APA format (with in-text citations) dated within the past 5 years.
- Scholarly References:A scholarly reference refers to a source of information that is considered reliable and credible, has been vetted by experts, and contributes to the body of knowledge in a particular discipline. Examples of scholarly references accepted by Arizona College of Nursing include peer-reviewed journal articles, dissertations and theses, academic books published by university press, .gov or .org websites, and textbooks. Scholarly references need to be current within the past five years unless it is seminal work. Seminal work refers to a publication that has had a profound and lasting impact on a particular field of study. For example: Benner, P. (1984). Novice to expert: Excellence and power in clinical nursing practice. Addison-Wesley.
- Be sure to connect your responses to the course content and previous learning experiences.
- Upload the completed document in one of the following formats: .DOCX, .PDF.
- Review the assignment Rubric for grading criteria.
- For help on how to submit your assignment, see Submit an Assignment.Links to an external site.
- This activity is worth 100 points.
Rubric
NUR 338 Module 3 Case Study Rubric
NUR 338 Module 3 Case Study Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeResponse Content & Critical Thinking
50 ptsExemplaryLearner provides a comprehensive summary of the patient safety event, detailed analysis of contributing factors, thorough explanation of human factors, and well-supported recommended interventions.
45 ptsProficientLearner provides a clear summary of the patient safety event, good analysis of contributing factors, explanation of human factors, and supported recommended interventions. May be missing one key detail for completeness.
40 ptsCompetentLearner provides an adequate summary of the patient safety event, basic analysis of contributing factors, some explanation of human factors, and partially supported recommended interventions. No more than two key details are missing for completeness.
35 ptsNeeds ImprovementLearner provides a limited summary of the patient safety event, minimal analysis of contributing factors, insufficient explanation of human factors, and weakly supported recommended interventions. Three or more key details are missing for completeness.
0 ptsNot EvidentLearner’s work is incomplete or missing summary, analysis, explanation, and recommendations.
50 pts
This criterion is linked to a Learning OutcomeUse of Evidence
20 ptsExemplaryLearner supports the paper with seamlessly integrated, relevant, and current evidence that enhances the credibility and strength of the work without interrupting the flow of writing. Uses more than 2 scholarly sources that are published within the past five years.
18 ptsProficientLearner supports the paper with well-integrated, relevant and current evidence that provides support, is cited clearly, and contributes to the credibility of the work. Citations may cause minor interruptions to the flow of writing. Uses at least 2 scholarly sources that are published within the past five years.
16 ptsCompetentLearner supports the paper with integrated, relevant, and current evidence that mostly supports the work, with occasional disruptions to the flow of writing. Uses at least 2 scholarly sources that are published within the past five years.
14 ptsNeeds ImprovementLearner’s evidence is poorly integrated into the paper, causing significant disruptions to the flow of writing. Evidence is not relevant or current. Scholarly resources provided do not meet requirements.
0 ptsNot EvidentLearner’s presentation lacks support and evidence.
20 pts
This criterion is linked to a Learning OutcomeOrganization & Development
10 ptsExemplaryLearner’s paper has a clear, logical structure and uses APA format. Includes title and references pages. Strong introduction, body, and conclusion. Smooth transitions enhance flow.
9 ptsProficientLearner’s paper is well-organized and uses APA format. Includes title and references pages. Well-developed introduction, body, and conclusion. Transitions enhance readability.
8 ptsCompetentLearner’s paper has a basic structure and uses APA format. Includes title and references pages, introduction, body, and conclusion. Lacks overall clarity and depth. Inconsistent transitions may cause confusion.
7 ptsNeeds ImprovementLearner’s paper has a limited structure and uses APA format. Title and/or references pages may be missing. Content is poorly developed, missing introduction, body, or conclusion. Transitions are absent in 1-2 sections.
0 ptsNot EvidentLearner’s paper is missing or lacks a clear and logical structure, does not use APA format, and is without title and references page. Introduction, body, and conclusion that are missing. Transitions between sections of the paper are absent.
10 pts
This criterion is linked to a Learning OutcomeProfessional Voice
10 ptsExemplaryTone is professional, considerate of differing viewpoints, and engaging.
9 ptsProficientTone is generally professional and considerate of other viewpoints, with minor lapses.
8 ptsCompetentTone contains occasional lapses in professionalism or only has basic engagement with different viewpoints.
7 ptsNeeds ImprovementTone is inconsistent in professionalism and engagement or lacks respect for differing viewpoints.
0 ptsNot EvidentTone is unprofessional and lacks respect for differing viewpoints.
10 pts
This criterion is linked to a Learning OutcomeFormatting and Style
10 ptsExemplaryLearner’s paper is free from grammatical, spelling, and APA formatting errors.
9 ptsProficientLearner’s paper contains 1-3 different grammatical, spelling, and/or APA formatting errors.
8 ptsCompetentLearner’s paper contains 4-6 different grammatical, spelling, and/or APA formatting errors.
7 ptsNeeds ImprovementLearner’s paper contains 7 different grammatical, spelling, and/or APA formatting errors.
0 ptsNot EvidentLearner’s paper contains more than 7 different grammatical, spelling, and/or APA formatting errors.
10 pts
Total Points: 100
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