Archive for May 15th, 2020

Root-Cause Analysis and Safety Improvement Plan

For this assessment, you will use a supplied template to conduct a root-cause analysis of a quality or safety issue in a health care setting of your choice and outline a plan to address the issue.

As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. The baccalaureate nurse’s role as a leader is to create safety improvement plans as well as disseminate vital information to staff nurses and other health care professionals to protect patients and improve outcomes.

As you prepare for this assessment, it would be an excellent choice to complete the Quality and Safety Improvement Plan Knowledge Base activity and to review the various assessment resources, all of which will help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities are not graded and demonstrate course engagement.

Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze the elements of a successful quality improvement initiative.
Apply evidence-based and best-practice strategies to address a safety issue or sentinel event.
Create a feasible, evidence-based safety improvement plan.
Competency 2: Analyze factors that lead to patient safety risks.
Analyze the root cause of a patient safety issue or a specific sentinel event within an organization.
Competency 3: Identify organizational interventions to promote patient safety.
Identify existing organizational resources that could be leveraged to improve a plan.
Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Professional Context
Nursing practice is governed by health care policies and procedures as well as state and national regulations developed to prevent problems. It is critical for nurses to participate in gathering and analyzing data to determine causes of patient safety issues, in solving problems, and in implementing quality improvements.

For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:

The specific safety concern identified in your previous assessment.
The Vila Health: Root-Cause Analysis and Safety Improvement Planning simulation.
One of the case studies from the previous assessment.
A personal practice experience in which a sentinel event occurred.
The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.

Use the Root-Cause Analysis and Improvement Plan Template [DOCX] to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

Analyze the root cause of a patient safety issue or a specific sentinel event in an organization.
Apply evidence-based and best-practice strategies to address the safety issue or sentinel event.
Create a feasible, evidence-based safety improvement plan.
Identify organizational resources that could be leveraged to improve your plan.
Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 2 Example [PDF].
Additional Requirements
Length of submission: Use the provided Root-Cause Analysis and Improvement Plan template to create a 46 page root cause analysis and safety improvement plan. A title page is not required but you must include a reference list as per the template.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
APA formatting: Format references and citations according to current APA style.

Any topic (writer’s choice)

Directions:  go onto and listen several times to the following examples of music:

1. Alleluia: Vidimus Stellam (Hallelujah, we have seen his star(this is the full title); composer is anonymous
2. Estampie (composer is anonymous)
3. O Successores by Hildegard de Bingin(composer)
4. Adoramus Te by Giovanni de la Palestrina (composer)
5. Agnus De from Notre Dame Mass by G. Machaut

Use the What do you hear? listening sheets in responding to the music. There are five question

Data Visualization and GIS Solutions

Research either data visualization software or GIS software available to businesses. In a paper, summarize the range of solutions available with examples of how they might be utilized. Then conduct some research and identify an organization that has adopted one of these software solutions. Briefly describe the organization, and then answer the following questions:

What technology (or technologies) is the organization using?
Which business units utilize the data presented by the technology?
What does the technology provide to the organization? What benefits does it offer and/or what problems does it solve?
Explain the present and future impacts of such a technology from a business perspective.
Identify areas in which the organization might expand or improve upon using the technology. Explain what they could do and why they should do it.

Exponential function

Share a task personal or professional that could be modeled mathematically through your chosen topic. Explain how this might be used in making good decisions. Some examples might be:

Exponential growth or decline of money, population or path of a rocket
Logarithmic nature of sound intensity
Relationships that have limitations on the quantities

Life Expectancy vs Health Expenditure

Trends (examining overtime) life expectancy vs health expenditure. Examine the chart and complete steps 1 and 2.

Step 1: Provide 1 explanation on what contributes to a higher life expectancy in Japan as compared to the USA? To support your claim include one reference from your readings or external sources.

Step 2: Upload one picture or diagram (it can be self-made) that captures a health inequality in your life.
(Please tell me before what you choose)

Please no cover page, no header or footer on the paper. No title on the paper, simple direct answers. Times new roman and 12 pt font. No filler spaces on the paper either with titles.

EArly language and literacy development

1. After watching the video, read the attached document Reading Strategies: First Grade.  Focus specifically on the second page, pg. 25, entitled Interactive Read Aloud and Literature Discussion.

2. Choose one goal that the teacher is focusing on in this interactive read aloud. For example, About: Understand that an artist illustrated the book).

3. Explain why you think this is the goal of the lesson. Provide examples from the video that support your answer.

Handheld Solitaire

Handheld Solitaire requires no table, has simple rules, and is easily learned and played. It is played with a traditional 52 card deck of 4 suits (hearts, clubs, diamonds, and spades) and 13 ranks from ace (1) to king (13). Jokers are not included. The deck (face down) is held in one hand, while the actual hand of cards to be played is placed face up on top of the deck. This leaves the other hand free for dealing and discarding. The rules of play are as follows:
    Shuffle the deck, then hold it face-down in one hand.
    While the deck is not empty:
    Deal a single card from the top of the deck into the top of the playing hand
    While a match occurs in the playing hand between the top card and the card 3 back from it, either in rank or suit, collapse the hand using the following rules:
    If the ranks match, all 4 top cards of the hand are discarded. For example, if the cards are: 2S 6S 9C 2H , we would be comparing the last card dealt, 2S, to the card which is three back from it, 2H. Because the values match, we would discard all four cards.
    If the suits match, only the middle 2 (of the top 4) cards of the hand are discarded. For example, if the cards are: JH 3S 5C 7H , we would be comparing the last card dealt, JH, to the card which is three back from it, 7H. Because the suits match, we would discard the middle to cared (3S and 3C) and be left with JH 7H .
    The final score is the number of cards left in the hand at the end of the game.
There are several requirements in designing this project.
    A single card should be represented by a Card class. A card should be represented by a value (int) and a suit (char), and must include a pointer to a Card named nextCard as one of the private data members. Implement appropriate getter and setter functions and two constructors (one for default values and one with explicit parameters). It should also have a print() function described by the following bullet. Use Card.h and Card.cpp files to develop the class.
o    The print function should print the value and suit of the card in two characters. Thus, print the numerical value. However, if the value is 1, print A (for [A]ce); if it is 10, print T (for [T]en); if it is 11, print J (for [J]ack); if it is 12, print Q (for [Q]ueen); if it is 13, print K (for [K]ing). Follow this by the character representing the suit ([S]pades, [C]lubs, [H]earts, [D]iamonds), The following give some examples of a card, followed by how it should be printed:
    Ace of Hearts would be printed as: AH
    10 of Diamonds would be printed as: TD
    5 of Clubs would be printed as: 5C
    A deck and a playing hand of cards should each be represented by a CardLL class containing two private data members: a length variable to store the number of items in the CardLL object and a Card pointer named top. This will be a pointer to a linked list of Card objects (Cards will be the nodes of the linked list). Implement the class using CardLL.h and CardLL.cpp files. The functions to implement for this class are as follows.
o    CardLL (default constructor). The function sets the list pointer to be NULL and the length to be zero.
o    ~CardLL (destructor). Deletes each item from the list, one by one.
o    insertAtTop(suit, value). The function inserts a given card at the top of the list.
o    getCardAt(pos). This function will return a Card pointer which points to the card at the given position. If the position doesnt exist in the list, just return NULL.
o    removeCardAt(pos). This function will remove the card at the given position, returning true if successful. If the position outside the bounds of the list, return false.
o    getLength(). Returns the length of the list.
o    isEmpty(). Returns true if the list is empty; false otherwise.
o    print(). Prints the word top: followed by each card in the linked list, all on one line. (Utilize the Card print() function to aid with printing each individual card.
o    shuffle(). This will randomly shuffle a list of cards using the Fisher-Yates shuffle algorithm as follows (implement this function last):
    Use a while loop to walk through each Card in the list. Also within the loop:
    Get a random number between 0 and length 1
    Use getCardAt to get the card at that position
    Swap the card at the walk position with the card at the position random position. Just swap the suit and the value, not the nextCard pointer!
    Notes about random numbers:
    include the cstdlib and ctime files.
    place the following line as the first line of main(): 
    In your CardLL classs shuffle() function, use rand() (with the modulus operator) to generate a random number in the appropriate range. Click here for an example of using rand()or consult page 274-275 of your textbook.
If there are additional class member functions that you would like to implement to ease the programming, you are allowed to do so. However, they should be clearly documented where necessary and should follow a structured object-oriented design approach.
Game play should be simulated in a client file called HHSolitaire.cpp. Follow the directions on the first page for the way the game is played. Represent the Deck and the Hand (playing hand) using a CardLL object for each. Use comments and functions to aid in the readability of your code. One function in particular to implement is populateDeck, which handles creating a new complete deck of 52 playing cards as follows (wrapped onto two lines below):
AD 2D 3D 4D 5D 6D 7D 8D 9D TD JD QD KD AC 2C 3C 4C 5C 6C 7C 8C 9C TC JC QC KC AH 2H 3H 4H 5H 6H 7H 8H 9H TH JH QH KH AS 2S 3S 4S 5S 6S 7S 8S 9S TS JS QS KS
Hint: To create the deck, use a nested for loop (one for the values [1-13] and one for the suits [D, C, H, S]) to generate the suits and values for the cards as you insert them into the deck.
    *Game play in this game, by its very nature, is deterministic. Thus, the entire game play can be printed to the output all at once. To give the program more of a game feel, though, you can use getchar() before each call to Hand.print() in main() to force the user to press the Enter key between each new card being played. Include stdio.h library in order to use this. This part should be saved until the very end of all testing!
Start early. I cannot emphasize this enough. This project will once again challenge your logical and critical thinking skills. Think of the design (structure, flow, logic sequence) of the program before implementing it. Learn from the previous projects. I will briefly reiterate the approach you should take below:
    Write down/draw out, on paper, how the overall design of the program should look. Getting your thoughts down on paper will help you organize/refine your approach and get a better grasp of how the individual components should fit together.
    Implement your program as empty function stubs at first and develop incrementally, testing one piece at a time before moving on. Building your program slowly from the ground up will allow you to foresee and prevent potential problems later on in development.
    Test many different input cases as you are developing your program and even once you feel that the program is complete. A good strategy is to try to break your program with a variety of different test casesit is much better for you to find a software mistake and fix it early than to have the final product fail the end user(s) because you didnt test adequately.
Testing: Test the program in steps. Build the Card and CardLL classes and verify that adding and deleting cards from the list works as you expect. Then start adding in individual elements of game play, incrementally. You will likely get segmentation faults as you develop this program. These are frustrating. However, these are a lot easier to debug if you test your program little by little.
Submission: This project is worth 110 points and is due on Friday, March 27th before noon. Submission must include:
    An electronic turn-in through Canvas. The entire Visual Studio solution folder must be zipped in order to do this. To create a zipped folder, right-click the folder and select Send to -> Compressed (zipped) folder. Rename this folder Project3_firstname_lastname where firstname and lastname are replaced with your first and last name, respectively. Upload this zipped folder to the Project 2 assignment page. Make sure that the following files are included in your project:
    A paper printout of your code, along with console outputs from at least 3 separate program runs.
Grading: The program will be graded along the following dimensions. Note that the values in brackets are percentages of the project grade. Point distributions will be weighted accordingly.
    [20] Card implementation
    [35] CardLL implementation
    [35] HHSolitaire implementation
    [20] Overall quality of program design, code structure/readability, and user interaction
For the final bullet, ensure that the program files contain header comments, formatted as required by the CSCI documentation guidelines. Documentation (commenting) is used to illustrate major sections or unclear sections of code as well. Program design should clearly convey intent, especially focusing on proper use of variable names, whitespace, alignment and indentation

Make sure that the file names are correct, that your program contains no syntax errors, and that all of the code compiles. Programs that do not compile will receive an automatic 20 point deduction (20% of the project grade). This will be in addition to any deductions on the items listed above.

If you are unable to decipher a compiler error in your program, its better to comment out that section of code so that the program compiles without error. This way I can see that it was at least attempted and you may receive partial points for that section of code. In addition to the commented out section, write a detailed explanation of what you think the error may be, and the steps you tried in order to fix the error.

Academic Honesty: I expect you to maintain a high ethical standard when developing your programs. Students are bound by the academic honesty policies of the department, college, and university. Direct collaboration with others on this project is not permitted, and helping generate specific lines or chunks of code is strictly prohibited. General design strategies of the software program may be discussed at a high level.

Output: You may use the following as a guide to what your output should look like.

Top: 8C
Top: 9C 8C
Top: 4H 9C 8C
Top: 2S 4H 9C 8C
Top: TS 2S 4H 9C 8C
Top: 7H TS 2S 4H 9C 8C
Suit Match! Removing: TS 2S

Top: 7H 4H 9C 8C
Top: 7S 7H 4H 9C 8C
Top: KH 7S 7H 4H 9C 8C
Suit Match! Removing: 7S 7H

Top: KH 4H 9C 8C
Top: 9H KH 4H 9C 8C
Number Match! Removing: 9H KH 4H 9C

Top: 8C
Top: 8D 8C
Top: 3C 8D 8C
Top: QD 3C 8D 8C
Top: 4D QD 3C 8D 8C
Suit Match! Removing: QD 3C

Top: 4D 8D 8C
Top: 6C 4D 8D 8C
Suit Match! Removing: 4D 8D

Top: 6C 8C
Top: 2D 6C 8C
Top: AS 2D 6C 8C
Top: 9D AS 2D 6C 8C
Top: JS 9D AS 2D 6C 8C
Top: AD JS 9D AS 2D 6C 8C
Number Match! Removing: AD JS 9D AS

Top: 2D 6C 8C
Top: JC 2D 6C 8C
Suit Match! Removing: 2D 6C
Top: JC 8C
Top: AC JC 8C
Top: 4C AC JC 8C
Suit Match! Removing: AC JC

Top: 4C 8C
Top: TH 4C 8C
Top: 6H TH 4C 8C
Top: 5D 6H TH 4C 8C
Top: JH 5D 6H TH 4C 8C
Suit Match! Removing: 5D 6H

Top: JH TH 4C 8C
Top: 7C JH TH 4C 8C
Suit Match! Removing: JH TH

Top: 7C 4C 8C
Top: 4S 7C 4C 8C
Top: AH 4S 7C 4C 8C
Top: KC AH 4S 7C 4C 8C
Suit Match! Removing: AH 4S

Top: KC 7C 4C 8C
Suit Match! Removing: 7C 4C

Top: KC 8C
Top: 5H KC 8C
Top: 2H 5H KC 8C
Top: QC 2H 5H KC 8C
Suit Match! Removing: 2H 5H

Top: QC KC 8C
Top: TD QC KC 8C
Top: 3S TD QC KC 8C
Top: 5C 3S TD QC KC 8C
Suit Match! Removing: 3S TD

Top: 5C QC KC 8C
Suit Match! Removing: QC KC

Top: 5C 8C
Top: 8H 5C 8C
Top: KS 8H 5C 8C
Top: 2C KS 8H 5C 8C
Suit Match! Removing: KS 8H

Top: 2C 5C 8C
Top: 6D 2C 5C 8C
Top: 3H 6D 2C 5C 8C
Top: KD 3H 6D 2C 5C 8C
Top: 3D KD 3H 6D 2C 5C 8C
Suit Match! Removing: KD 3H

Top: 3D 6D 2C 5C 8C
Top: 7D 3D 6D 2C 5C 8C
Top: JD 7D 3D 6D 2C 5C 8C
Suit Match! Removing: 7D 3D

Top: JD 6D 2C 5C 8C
Top: TC JD 6D 2C 5C 8C
Suit Match! Removing: JD 6D

Top: TC 2C 5C 8C
Suit Match! Removing: 2C 5C

Top: TC 8C
Top: 5S TC 8C
Top: QH 5S TC 8C
Top: 8S QH 5S TC 8C
Top: 9S 8S QH 5S TC 8C
Suit Match! Removing: 8S QH

Top: 9S 5S TC 8C
Top: QS 9S 5S TC 8C
Top: 6S QS 9S 5S TC 8C
Suit Match! Removing: QS 9S

Top: 6S 5S TC 8C

Deck Empty! Printing leftover hand:

Top: 6S 5S TC 8C

discussion week 3

Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

Link: Nursing malpractice: determining liability elements for negligent acts

Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.
Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article.


Dear writer,
I will attach for you 3 article, and I need  you to do :
1- summarize in point with proving examples.
2- give your opinion on the end.

each article need to be on a page (Separated) 

Please you simple language and basic vocabulary while you write the summarize

Effective Communication and Training in Implementing a Performance Management System

As a senior HR manager of a large Saudi Arabian company, you have been assigned the task of monitoring and evaluating the organizations current performance management system. You have also been receiving complaints from the customer service employees that their ratings seem inaccurate and inconsistent. These employees feel the criteria of assessing the performance are not fully aligned to their goals. You are worried that this may lead to the issue of higher turnover of the customer service employees and the organization may lose quality employees if these issues are not addressed. Therefore, you have been assigned with the task of designing and implementing a new rater training program for your supervisors in order to rectify these issues.

Using the previous scenario, provide a critical discussion for the reasons why rater errors may be occurring while evaluating customer service employees. Critically analyze the need for the alignment of organizational goals with employee goals and the performance management system. Recommend a suitable rater training program for your supervisors. Include the benefits of the recommended method in order to justify this choice and to highlight the importance of aligning organizational goals with an appropriate strategic measurement method.

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