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SGUC
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These
questions
are
just
intended
as
a
starting
point.
After
analyzing
the
event,
make
sure
you
explicitly
state
one
or
more
root
causes
that led
to
the
issue
or
sentinel
event.
Application
of
Evidence-Based
Strategies
Identity
best
practices
strategies
to
address
the
safety
issue
or
sentinel
event.
e
Describe
what
the
literature
states
about
the
factors
that
lead
to
the
safety
issue.
o
For
example,
interruptions
during
medication
administration
increase
the
risk
of
medication
errors
by
specifically
stated
data.
o
Explain
how
the
strategies
could
be
addressed
in
safety
issues
or
sentinel
events.
Improvement
Plan
with
Evidence-Based
and
Best-Practice
Strategies
Provide
a
description
of
a
safety
improvement
plan
that
could
realistically
be
implemented
within
the
health
care
setting
in
which
your
chosen
issue
or
sentinel
event
took
place.
This
plan
should
contain:
e
Actions,
new
processes
or
policies,
and/or
professional
development
that
will
be
undertaken
to
address
one
or
more
of
the
root
causes.
o
Support
these
recommendations
with
references
from
the
literature
or
professional
best
practices.
e
A
description
of
the
goals
or
desired
outcomes
of
these
actions.
¢
A
rough
timeline
of
development
and
implementation
for
the
plan.
Existing
Organizational
Resources
Identify
existing
organizational
personnel
and/or
resources
that
would
help
improve
the
implementation
or
outcomes
of
the
plan.
o
A
brief
note
on
resources
that
may
need
to
be
obtained
for
the
success
of
the
plan.
—_____Sewmngs,
NuUrses
camn
pray
anm
acuve
rore
O
WalkMe
1
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