Jul 20, 2017

Portfolio Project Case Study

This paper concentrates on the primary theme of Portfolio Project Case Study in which you have to explain and evaluate its intricate aspects in detail. In addition to this, this paper has been reviewed and purchased by most of the students hence; it has been rated 4.8 points on the scale of 5 points. Besides, the price of this paper starts from £ 40. For more details and full access to the paper, please refer to the site.

Portfolio Project Case Study


Read and carefully analyze the case study.

Prepare a scholarly composition using references to support your thoughts and ideas. Denote the source of information included in your paper. Your paper should address the following points in an academic tone:

- A risk manager’s role in addressing the events described in the case studyThe Joint Commission requirements for reporting sentinel events for a hospital

- Steps a risk manager must take to address these events

- Processes and techniques that a risk manager would take to investigate, prevent, and control these types of events now and in the future

- Internal and external individuals and entities that might be involved in this situation, why, and in what capacity

- The practicality and implications of one or more theories on accident causation

- Measures to assess the performance of the organization and the risk management plan in this area as it relates to patient care and compliance

- Impact these events could have on organizational performance, compliance, and accreditation

Include at least six references, two of which must be scholarly articles 


Portfolio Project Case Study Name: Institution: Date: Introduction There are several factors that contribute to safety and medication errors within the health care system. Some of the factors that cause these errors are directly attributed to the organizations that are providing healthcare while others are attributed to the medication-use system. In most of the cases multiple factors are involved in these errors (Aspden, Wolcott, Bootman, & Cronenwett, 2007). The case study is an illustration of the complexities within the health care system and the process for medication usage and the inter-related nature of factors that are involved in the provision of quality and safe care (Aspden et al., 2007). The physicians, nurses, and pharmacists of the hospital were not familiar with the treatment of congenital syphilis and had limited knowledge regarding the use of congenital syphilis drugs. The pharmacist that was filling the prescription made consultations with the infant progress notes. In the notes the nurse practitioner documented a recommendation for treatment for the health department (Aspden, Wolcott, Bootman, & Cronenwett, 2007). In addition, the pharmacist consulted a drug reference book and used it to determine the normal dose for penicillin G benzathine for infants. The pharmacist, however, erroneously read in both of the sources as 500,000 units/kilogram (kg), an adult dose instead of 50,000 units/kg (Aspden et al., 2007). As a resu...

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