09 Feb Critical Thinking Incident

Think back to a critical incident in your workplace that affected patient safety, had unintended outcomes, or did not contribute to the well-being of the patient. Reflect on the incident to identify why the breakdowns in quality and safety occurred.

Discuss:

A description of a critical incident that occurred in your workplace that had unintended outcomes or did not contribute to the well-being of the patient.
An analysis of the event using the EBP found in the literature. You can then use the information from your research to identify and talk about the incident and what worked well and what did not.
Example questions to use when analyzing the event
Was the nurse confident in their reasoning?
Was the whole situation taken into consideration?
Was there adequate consideration of alternatives, even those that were nontraditional or creative?
Was the nurse flexible enough?
Was the nurse engaged enough to really want to understand fully?
Were the nurses decisions based on usual practice or potential bias?
Were there signs in the beginning that there may be an issue?
Was everyone’s thoughts, recommendations, suggestions considered from the beginning?
Your reflection of the incident, what the breakdowns were and why they occurred.
What steps a leader/manager can take to prevent future incidents. Or describe how you would create an environment where these incidences are less likely to happen. For example, what would you do differently?  
Additional Instructions:

All submissions should be 2-4 pages and have a title page and reference page.
Utilize a minimum of three scholarly (peer reviewed) resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.