Critical Analysis of a Patient Safety Incident

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6NH095 Assessment (100% weighting, meeting all learning outcomes)

A 2,500-word critical analysis of a patient safety incident

Learning outcomes

LO1 Apply the principles of risk management in maintaining a safe care environment.

LO2 Critically explore how human factors can influence and impact upon behaviour within teams and the way in which this can affect health and safety when caring for individuals and families accessing mental health services.

LO3 Critically reflect on critical incidents including suggesting ways to instigate positive change to promote safety and quality of mental health nursing care.

*All learning outcomes must be achieved to pass the assessment

Detailed assignment brief

You are required to undertake a 2,500-word (+10% maximum word count) critical analysis of a patient safety incident.  The patient safety incident will be chosen from those provided in the Canvas tile.

Using the structure set out below, you will identify, critically analyse and consider the circumstances that may have contributed to your chosen incident, and then make appropriate recommendations for enhancing the safety and quality of care of this aspect of clinical practice in the future.  You are required to underpin your work throughout by making reference to appropriate literature, such as national guidelines, policies, procedures- you should refer to the reading list in Leganto (use the reading list tab in the Canvas topic).

The required structure for your assignment is as follows:

Front page (not included in word count)

You must include the University recommended front page indicating your course, student number, word count and other elements.

Throughout the assignment, please do not write in the first person (‘I did x’, ‘I think y’). If you want to refer to yourself, use the third person (‘the author’).  Also, do not address the reader (by writing ‘we do this’, ‘you should do that’).  Instead say something like ‘nurses must’ or ‘as a Nursing and Midwifery Council (NMC) registrant’.

Critical Analysis of a Patient Safety Incident

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Introduction (approximately 150 – 200 words)

Here you provide an introduction to the assignment.  You should not include the full patient safety incident in your assignment.  The patient safety incident details are pure description, and you’ll be aware that description doesn’t get you academic credit (marks).   You should just start the introduction by very briefly saying what patient safety incident the assignment focuses on.  Then you will need to set out the stages of the assignment, and what the aim is for each section.

In the introduction, it is useful to provide some referenced background discussion about the concepts of risk assessment, human factors, and change theory.  For example, provide some (referenced) discussion about the concept of risk assessment.  Then, do the same with the concept of human factors; and with the concept of change theory (change theory relates to your recommendation(s) section).

To ensure that your introduction accurately represents your work, we suggest that you either write the introduction last, or review the introduction once you have finished your assignment.  You should use references to this section.  Make sure you are not repeating content in the introduction that you will say later in the assignment- this section provides an overview, and in the main body of the assignment, you go into specific detail.

Main body (approximately 2000 words) (LO1, LO2, LO3)

The main body of the assignment will be structured under the following three headings: insight, involvement, and improvement (approximately 600-700 words per heading).

Under the ‘insight’ heading (approximately 600-700 words):

• You will identify three risks/risk management factors that contributed to the outcome of your chosen patient safety incident.
• Using literature, you should then briefly justify your identification of two of the factors (approximately 300 words);
• Using literature, you will then critically analyse the third factor in detail (approximately 400 words).

Under the ‘involvement’ heading (approximately 600-700 words):

• You will identify three human factors that contributed to the outcome of your chosen patient safety incident.
• Using literature, you should then briefly justify your identification of two of the factors (approximately 300 words);
• Using literature, you will then critically analyse the third factor in detail (approximately 400 words).

Critical Analysis of a Patient Safety Incident

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With respect to the insight and involvement headings, you must identify what you think are the circumstances (risks/risk management/human factors) that may have led to the patient safety incident, and then critically analyse the impact/effect of those circumstances.  In this way, you will be constantly referring to the aspects of the patient safety incident all the way through these sections.

Under the ‘improvement’ heading (approximately 600-700 words):

• You will identify and justify 1 – 2 recommendation(s) for positive change in relation to your chosen patient safety incident.

With respect to the improvement (recommendation(s)) heading, these recommendations should be drawn directly from your analysis of the patient safety incident.  You must set out your suggestions for changes that would enhance safety and quality of care and prevent future incidents like the one you have been analysing.  In this section, consider what might affect the ability to make these changes- use a change model to explain the process/impact of implementing changes.  Be as specific and focused as you can and use references to show what guidance/national standards exist to support your point.

All discussions within your critical analysis need to relate to details within the patient safety incident you have selected.

Conclusion (approximately 150-200 words)

The conclusion is a short section that ‘ties together’ your work.  You need to make sure you don’t introduce new information in this section- remember you are drawing together what you have said in the main body of the assignment.  In the conclusion you should identify the main issues that you identified that led to the patient safety incident and highlight the key  points.  You might want to structure this section with one paragraph focusing on insight (risk assessment/management), one paragraph focusing on involvement (human factors), and one paragraph focusing on improvement (your recommendations).  You should reference this section- some references used in this section are likely to have already been used in the main body to support points made in the analysis of your patient safety incident.

Reference list (not included in word count)

A full list of your references, correctly cited using the Harvard system as per University requirements.  For guidance, use the University library website, and/or www.citethemrightonline.com

Appendix (not included in word count)

We recommend you place the full patient safety incident details here, to conserve wordage in the main body of your work.

Critical Analysis of a Patient Safety Incident

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By admin in Blog on January 16, 2025