MSN FP6016 Assessment 1 1.docx MSN_FP_6016 Adverse Event Analysis School of Nursing a

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MSN FP6016 Assessment 1 1.docx MSN_FP_6016 Adverse Event Analysis School of Nursing and Health Sciences, Capella University MSN-FP6016: Quality Improvement of Interprofessional Care Adverse Eve... nt Analysis The purpose of this paper is to analyze an adverse event that occurred in the intensive care unit at the hospital where I am currently employed. I will explain the event, analyze potential causes and detail a quality improvement plan that was decided on to prevent similar events from occurring in the future. Description and Analysis of Event The adverse event I will be analyzing is the development of multiple Hospital-acquired pressure injuries on a patient who was admitted to the Intensive Care Unit with COVID. The patient was initially admitted for respiratory distress related to COVID and quickly deteriorated and needed to be intubated. The patient™s respiratory status continued to decline rapidly and the decision was made to prone the patient. Due to the large number of COVID patients seen in this unit in the last year, all the staff were familiar with and comfortable with best practices related to prone positioning of patients. The patient was placed in the prone position for sixteen hours on 6 consecutive days before there was significant improvement in their respiratory status. One or two days later it was noted in the electronic medical record that the patient had developed multiple pressure injuries, including the chin, forehead, upper lip, and chest. After the pressure injuries were no. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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