Take some time to research the Patient Safety and Quality Improvement Act of 2005. This landmark piece of legislation continues to be a critical law for health care managers to follow. While promoting patient safety and quality of care, this act also caused (and continues to cause) some tension between improving the quality of care provided with acknowledging and reporting responsibility for error in the health care settings.

1. Review the 3 types of patient safety events that are reportable under the Patient Safety and Quality

Improvement Act, and

a. locate an example of such an event that has occurred under one of the three reportable


2. Then: Clearly summarize the patient safety event. What (specifically) happened, what were the

circumstances of the event, and what person(s)/position(s) was/were deemed to be at fault?

3. What stakeholders were involved? What was the role of each? Often, these events involve several

stakeholders, so consider all parties carefully.

4. Articulate a specific plan for preventing this type of patient safety event from happening again.

What (specifically) must change, be done differently, not be done, etc.

5. On the last page of your assignment, draft an email to communicate the prevention plan to your

employees. Be clear and concise in what your expectations are, and who is responsible for all

parts of the plan’s implementation and monitoring.

SLP Assignment Expectations

Conduct additional research to gather sufficient information to support your analysis.

Provide a response of 5 pages with one reference or more per paragraph, not including title page and


As we have multiple required items to be addressed herein, please use subheadings to show where

you’re responding to each required item and to ensure that none are omitted.

Support your paper with peer-reviewed articles and reliable sources. Use at least two references from

peer-reviewed sources


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