Assignment 2 (Part B): Commentary of a Patient Safety Incident
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In this assignment, you are required to write a commentary of a case study of a patient safety issue. This assignment will use the skills of critical reflection, evaluation and the application of theory and concepts.
A case study is a detailed account of something in order to understand the topic (in this case a patient safety issue). You need to draw on relevant literature to support your overall approach and analysis of the incident.
You are expected to choose a patient safety incident which you can present as a case study. It should draw upon something that has happened in your own practice, or which you know about from a personal perspective.
Your description of this safety incident should be attached as an appendix to your assignment. It should describe the context, what happened, who was involved and the subsequent consequences for the individuals and / or organisation. This description should not be longer than 500 words and should be referred to in your main commentary.
If you do not have any experience of a patient safety incident, you can use an example from the literature. The NHS North Central London Clinical Commissioning Group has a set of examples you can draw on for inspiration.
The assignment is structured in five sections, each of slightly different approximate word lengths, with a maximum total word length of 2,500 words:
Introduction and rationale (100 -200 words approximately): This should briefly refer to the incident you describe in your appendix and explain why you chose this incident to analyse.
Your analysis of the incident (500-600 words approx): Consider exactly what was going on in this case: What was the experience of the patient? What was the experience of the other healthcare professionals? What were the implications for leadership?
How does this case relate to the literature? (500 words approx): From what you have learned about patient safety, how does your case relate to the literature? What models and process are similar or different?
How was this case dealt with or how should it have been dealt with? (600 words approx): This is your main discussion: What are the implications for your practice or that of others?
Conclusion (200 words approx): Sum up what this case has taught you about patient safety and how your new perspective will inform your future leadership practice.
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