Running Head: TYPE 2 to 3 WORDS OF YOUR TITLE HERE
Title of Paper
Your name
HCA375– Continuous Quality Monitoring and Accreditation
Type Instructor Name Here
Type Date
1
TYPE JUST THE PAPER TITLE HERE
2
HCA375 - WEEK 4 ASSIGNMENT
PART 1 – DESCRIPTION OF ADVERSE EVENT
Refer to the instructions in the Week 4 Assignment of your online course to understand what is expected in each column. This
completed template should be between six to seven pages in length. Include APA citations within the description column
where appropriate. List your references in APA format according to the Ashford Writing Center guidelines on the last page of
this template.
CONTENT
ADVERSE EVENT CHOSEN
DESCRIBE THE EVENT
WHO WAS INVOLVED IN THE
EVENT (Health care Personnel)
COMMUNICATION
TECHNIQUES/METHODS UTILIZED
TO RESOLVE THE PROBLEM
OPERATIONAL OR SAFETY
PROCESSES RECOMMENDED TO
AVOID FUTURE EVENTS FROM
HAPPENING. LIST AT LEAST 2.
HISTORICAL, CONTEMPORARY,
AND LEGAL INFORMATION ABOUT
THE EVENT CHOSEN
APPLYING CONTINUOUS QUALITY
MONITORING - STATE THE
IMPACT OF THIS EVENT FROM THE
ORGANIZATION’S AND PATIENT
PERSPECTIVE
DESCRIPTION
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3
WEEK 4 ASSIGNMENT
PART 2 – CQI TOOL
Choose a CQI Tool that best suits your chosen Adverse Event from this list of three:

Flowchart

Fishbone Diagram (Cause & Effect)

Pareto
Use the CQI Tool to illustrate the use of the tool with your chosen Adverse Event. You will be responsible for creating the CQI
Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot into the space below.
TYPE JUST THE PAPER TITLE HERE
4
WEEK 4 ASSIGNMENT
PART 3 - FUTURE PREVENTION
APPLYING PDSA - Worksheet
PHASE
PHASE ACTIVITIES
PLAN
Identify the problem.
What is your objective?
Identify the team members that will
work on the problem.
How would you communicate the plan
to the stakeholders?
What data are you collecting?
Whom are you piloting your plan on?
(You need to select a small group to
pilot your plan on before you
implement fully).
DO
Develop possible solutions to the
problem.
Select one of the possible solutions to
implement in this pilot phase.
What was the result of the pilot?
Detail the method(s) utilized to
communicate the improvement
process.
List observations and note any
problems.
STUDY
Summarize the data collected and
measure if the pilot solution was
effective. Identify any issues that
occurred. Include any communication
issues.
Compare your objective in the Plan
phase to that of the actual pilot result.
Revise plan if needed – describe.
ACT
Implement the plan for improvement.
Describe how you will be continually
monitoring for the improvement plan’s
sustained success.
EXPLANATION
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5
References
Excluding your textbook or course readings include a minimum of four scholarly, peer-reviewed sources; two of
which must be from the Ashford University Library that were published within the past five years. All references
must be in APA format according to the Ashford Writing Center.