Think back to a critical incident in your workplace that affected patient safety, had unintended outcomes, or did not contribute to the well-being of the patient. Reflect on the incident to identify why the breakdowns in quality and safety occurred.

Think back to a critical incident in your workplace that affected patient safety, had unintended outcomes, or did not contribute to the well-being of the patient. Reflect on the incident to identify why the breakdowns in quality and safety occurred.

Think back to a critical incident in your workplace that affected patient safety, had unintended outcomes, or did not contribute to the well-being of the patient. Reflect on the incident to identify why the breakdowns in quality and safety occurred.
Refer to Box 5-4, Guidelines for Analyzing CT (Rubenfeld & Scheffer, 2015, p. 139) in your text to examine an event/incidence, to synthesize what happened, and how to prevent it in the future.
Write a two to three-page paper (excluding title page and reference page) that includes:
A description of a critical incident that occurred in your workplace that had unintended outcomes or did not contribute to the well-being of the patient.
An analysis of the event using the questions from box 5-4. Use these questions to analyze the event – it is not necessary to use all of them, but the ones that pertain to your event. You can then use the information from your answers to identify and talk about the incident and what worked well and what did not.
Your reflection of the incident, what the breakdowns were and why they occurred.
What steps a leader/manager can take to prevent future incidents. Or describe how you would create an environment where these incidences are less likely to happen. For example, what would you do differently?  
Follow APA 6th edition formatting for the title page, body of the paper, and reference page.  You must use a minimum of two scholarly references to support your assignment
Assignment 3 Rubric
Competency
20 points
15 points
5 points
0 points
Points Earned
A description of a critical  incident in the workplace
Fully details a critical incident that occurred in the workplace that had unintended outcomes or did not contribute to the well-being of the patient.
Describes a critical incident that occurred in the workplace that had unintended outcomes or did not contribute to the well-being of the patient.
Superficially describes a critical incident that occurred in the workplace that had unintended outcomes or did not contribute to the well-being of the patient.
No paper submitted and/or content missing
/20
An analysis of the incident using the questions from box 5-4 in your text.
Fully analyzes the incident using the appropriate questions from box 5-4.
Describes the incident using the questions from box 5-4.
Superficially analyzes the incident without using the questions from box 5-4.
No paper submitted and/or content missing
/20
Reflect on the incident.
Fully reflects on the incident and identifies what breakdowns occurred and why these breakdowns in quality and safety occurred.
Provides a reflection of the incident and discusses what breakdowns occurred but doesn’t identify why the breakdowns occurred.
Provides a reflection of the incident but does not discuss what breakdowns occurred or why they occurred.
No paper submitted and/or content missing
/20
Steps to take to prevent this incident from occurring again?
Fully details what steps to take as a leader and manager to prevent the incident from occurring again.
Describes steps to take as a leader but does not include changes to the environment.
Superficially identifies steps to take to prevent the incident from occurring again, including changes in the work environment.
No paper submitted and/or content missing
/20
Competency

  4 points

2 points
1 point
0 point
Points Earned
Organization
Organization excellent, ideas clear and arranged logically, transitions smooth, no flaws in logic.
Organization good; ideas usually clear and arranged in acceptable sequence; transitions usually smooth, good support.
Organization minimally effective; problems in approach, sequence, support and transitions.
Organization does not meet requirements.
/4
Grammar
Grammar, punctuation, mechanics, and usage correct and idiomatic, consistent with Standard American English

  Grammar, punctuation, mechanics, and usage good mostly consistent with Standard American English; errors do not interfere with meaning or understanding

Grammar, punctuation, mechanics and usage distracting  and often interfere with meaning or understanding
Grammar, punctuation, mechanics, and usage interfere with understanding
/4
Competency
5 points
3 points
1 point
0 point
Points Earned
References
References are relevant, authoritative and contemporary.
Adequate references.
Minimal use of appropriate references.
Poor use and/or selection of references not relevant.
/5
Competency
7 points
5 points
2 points
0 point
Points Earned
APA Format
Demonstrates competent use of mechanics and APA.
Minimal APA errors.
Many APA errors.
Complete lack of understanding.
/7
Total
/100

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