IHP 430 Module One Short Paper Guidelines and Rubric
Overview: In this short paper, you will use a root cause analysis to determine what caused a patient to receive the wrong medication, what should be done about this, and how this type of error could be prevented in the future. Prompt: The local hospital had an incident involving the wrong medication administered to a patient. You have been asked to perform a root cause analysis. First, you need to discover the event that happened, how it happened, and why it happened. Then in your response, address the following elements:
Recommend key stakeholders to investigate this case. Why should these stakeholders be involved with the investigation?
Compare the Five Whys of medication administration. How could addressing these questions help identify the root cause of this problem? How could medication errors be avoided in the future?
Rubric
Guidelines for Submission: Your paper should be submitted as a one- to two-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least three sources cited in APA format.
Critical Elements Exemplary (100%) Proficient (80%) Needs Improvement (70%) Not Evident (0%) Value
Stakeholders Meets or exceeds Proficient criteria and demonstrates in- depth knowledge of which significance of the stakeholders should be involved in determining the root cause of events
Identifies appropriate stakeholders for determining the root cause with sound rationale
Identifies appropriate stakeholders for determining the root cause but without sound rationale
Does not identify appropriate stakeholders for determining the root cause
30
Use of Five Whys Meets or exceeds Proficient criteria and demonstrates in- depth understanding of how the Five Whys could identify the errors root cause
Explains how addressing each of the questions in the Five Whys could help identify the root cause of the error
Explains how addressing some of the questions in the Five Whys could help identify the root cause of the error, but some steps are missing
Does not explain how addressing the questions in the Five Whys could help identify the root cause of the error
30
Avoidance of Medication Errors
Meets or exceeds Proficient criteria by successfully explaining how medication errors could be avoided by showing in-depth knowledge to support assertions
Successfully explains how medication errors could be avoided
Partially explains how medication errors could be avoided
Does not explain how medication errors could be avoided
30
Critical Elements Exemplary (100%) Proficient (80%) Needs Improvement (70%) Not Evident (0%) Value
Articulation of Response
Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format
Submission has no major errors related to citations, grammar, spelling, syntax, or organization
Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas
Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas
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