For your Competency Discussion, talk to a patient safety officer or patient safety nurse at your facility or a facility with which you are familiar to gain insights about how they approach sentinel events from a systems perspective. Also, discuss how their approach may have changed as a result of the COVID-19 pandemic. Finally, reflect on any insights you gained from the conversation.  Patient Safety and Quality of Services

To begin this Competency and meet your required engagement, post in the Discussion area a brief description of the patient safety officer or patient safety nurse you interviewed and explain how sentinel events are approached from a systems perspective. Then, explain how the approach might have changed as a result of the COVID-19 pandemic. Finally, explain any insights you gained from the conversation.

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OM001 Assessment Instructions

Review the details of your assessment including the rubric. You will have the ability to submit the assessment once you submit your required pre-assessments and engage with your Faculty Subject Matter Expert (SME) in a substantive way about the competency.



In a new role within your organization, you have been asked to prepare a memo for the executive team on the organization’s current status of quality, medical errors, and safety. You may use your current organization or one where you desire to work in the future for this assessment.

To complete this Assessment:

Download the Academic Writing Expectations Checklist to use as a guide when completing your Assessment. Responses that do not meet the expectations of scholarly writing will be returned without scoring. Properly formatted APA citations and references must be provided, where appropriate. Patient Safety and Quality of Services

Be sure to use scholarly academic resources as specified in the rubric. This means using Walden Library databases to obtain peer reviewed articles. Additionally, .gov (government expert sources) are a quality resource option. Note: Internet and .com sources do not meet this requirement. Contact your coach or SME for guidance on using Library Databases.

Carefully review the rubric for the Assessment as part of your preparation to complete your Assessment work.

This Assessment requires submission of one (1) document, Save your file as OM001_firstinitial_lastname (for example, OM001_J_Smith).

You may submit a draft of your assignment to the Turning Draft Check area to check for authenticity. When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.


Before submitting your Assessment, carefully review the rubric. This is the same rubric the assessor will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.

To complete the Assessment, create a memo to the executive board of your organization that addresses the following:

The three key objectives and impacts of the Institute of Medicine’s (IOM) To Err Is Human: Building a Safer Health System and the follow-up report Crossing the Quality Chasm, paying particular attention to the components of these reports and how they affect your organization.

Describe how the objectives and impacts of these important reports might influence the goals, mission, and values of your organization.

Analyze an adverse safety event that became an impetus for systems changes related to patient safety as follows:

  • Describe the event and its effects on key persons involved.

Explain the systemic failure that allowed the event to occur.

  • Explain system changes that were made as a result of this event as well as two positive outcomes due to those changes.

Explain how the adverse event you described, the related systemic failure, and the changes that resulted affected operational procedures at your organization.

  • Identify at least two patient safety goals at your organization and briefly describe two different organizations that specialize in the area of patient safety that you selected, including their mission, purpose, and values; explain how their resources can be used to achieve your organization’s safety goals.

Identify at least two risks to medical, clinical, and other organizational staff as second victims when medical errors occur. Recommend two specific strategies your organization can implement to assist its internal stakeholders to cope when medical errors do occur.

  • Evaluate the statement “those who make errors that harm patients are themselves victims”, including pros and cons of this statement in relation to the industry as a whole and your organization in particular. Patient Safety and Quality of Services        Grantham University Accounting Standards Board Discussion
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