risks associated with surgery

Risk management uses certain documents to track incidents. It will help you to become familiar with the kind of information that goes into these documents. This week, you will create and fill in a quality improvement chart for the high-risk area you selected in Week 1.

  1. Design a chart to show the indicators, their measurements, and the expected and actual performance. Use the template to design your chart. Further, use 5 out of the 10 standards listed. Use the template below.
  2. Select one of the fictional incidents you created last week. Describe the incident under Status.
  3. For this incident, complete the Compliance section using fictitious data. The tracking of the indicators should correspond to the incident. That is, some failure of compliance may have led to the incident.
  4. Develop a plan of correction to address the incident. Write a brief description under Plan of Correction

Use the matrix below to design your quality improvement chart. Show all the indicators you selected in the chart.

Quality Improvement Activity Schedule


Severity of Risk

Performance Indicator

Level of Performance / Threshold

Compliance in Percent


Plan of Correction

Qtr 1

Qtr 2

Qtr 3

Qtr 4

Under standards, you may include areas such as the following:

IC: Surveillance, Prevention, and Control of Infection HR: Management of Human Resources

EC: Management of the Environment of Care IM: Management of Information

MM: Medication Management LD: Leadership

NPSG: National Patient Safety Goals PI: Improving Organizational Performance

PC: Provision of Care, Treatment, and Services RI: Ethics, Rights, and Responsibilities

Severity of risk may be designated as follows:

H: High risk M/H: Medium/high risk M: Medium risk L: Low risk

Compliance (in percent) may be entered on a monthly, quarterly, bi-annual, or annual schedule. The matrix here shows quarterly compliance schedule. Adjust it as necessary.

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.