The following points correspond to the grading criteria in the scoring guide. The subbullets under each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your adverse event or near-miss analysis addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels relating to each grading criterion.
1) Analyze the missed steps or protocol deviations related to an adverse event or near miss.
-Describe how the event resulted from a patient’s medical management rather than from the underlying condition.
-Identify and evaluate the missed steps or protocol deviations leading to the event.
-Explain the extent to which the incident was preventable.
-Research the impact of the same type of adverse event or near miss in other facilities.
2) Analyze the implications of the adverse event or near miss for all stakeholders.
-Evaluate the short- and long-term effects on the stakeholders . Analyze each stakeholder’s contribution to the event.
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