· Describe the adverse event, including who was involved in the event.
· For your selected adverse event, graph the data for the two years. Analyze the data by determining if the frequency is increasing or decreasing. What factors could be attributed to the change?
· Discuss the communication techniques/methods utilized to inform the staff of the adverse event.
· Describe at least two operational or safety processes that might not have been followed that contributed or caused this event to take place. For instance, describe any regulations or procedures that the professional organization and/or accrediting agency measures compliance with the standard.
· Graph two years of data for your selected adverse event and analyze the data by determining if the frequency is increasing or decreasing.
· What factors could attribute to the change in data over two years?
· Summarize the historical and contemporary issues and legal implications related to patient safety in your chosen adverse event.
· Describe how processes of continuous quality monitoring could impact the adverse event you chose.