(Solution) NR584NP Week 3 Assignment Risk Management Case Study

NR584NP Week 3 Assignment Risk Management Case Study

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

General Instructions

Review the Week 3 Risk Management Case Study scenario in the course’s Announcements section.

  1. Use the provided worksheetLinks to an external site.Open this document with ReadSpeaker docReader to answer the questions related to the Case Study scenario.
  2. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
  3. Provide resources from at least three scholarly resources. Include in-text citations in APA format when applicable.
  4. Abide by Chamberlain University’s academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric).

  1. Identification
    1. Identify the risk.
    2. Select the most appropriate classification of the risk.
    3. Describe the risk domain.
  2. Factors
    1. Describe four factors that contribute to the risk.
  3. Proactive measures
    1. Discuss three proactive measures to reduce or prevent the risk.
    2. Provide support from a scholarly source.
  4. Mitigation strategies
    1. Describe three strategies the advanced practice nurse may use to mitigate the identified risk.
    2. Provide support from a scholarly source.
  5. Regulatory foundations
    1. Identify at least one regulatory agency that provides guidance to manage the risk.
    2. Discuss applicable regulations.
    3. Provide support from a scholarly source or regulatory agency.
  6. Summary
    1. Describe how the advanced practice nurse can monitor the application and efficacy of the mitigation strategy.
    2. Discuss how you will apply the mitigation strategies in your practice.
    3. Reflect on what you have learned from this assignment.

Solution: NR584NP Week 3 Assignment Risk Management Case Study

  1. Identification
    1. Identify the primary risk event.

The primary risk event is the delayed diagnosis due to the provider’s failure to conduct cancer screening in a timely and appropriate manner, despite the patient having had gastrointestinal symptoms and risk factors warranting a colonoscopy. The oversight resulted in delayed colon cancer diagnosis, risking the patient’s health and life.

  1. Select the most appropriate classification of the risk (compliance, hazard, control, opportunity).

The risk is primarily a compliance type as it relates to the failure of the healthcare provider to adhere to the established protocols and guidelines for colonoscopy. Compliance risks as those that occur due to a provider’s non-adherence to set professional standards, regulations, and/or evidence-based practices.

  1. Describe the risk domain.

The risk domain is clinical care as it involves a patient care process and diagnosis. The clinical care risk domain is that which is associated with patient care processes including diagnosis, treatment, surgical procedure, and general healthcare delivery. The failure to order a colonoscopy resulted in delayed diagnosis, treatment, and harm to the patient.

  1. Factors
    1. Describe four factors that contribute to the risk.
  • Provider’s lack of knowledge of colon cancer screening guidelines. Most missed cancer diagnoses are due to the provider’s lack of knowledge/ awareness of current guidelines, leading to failure to recognize risk factors for colon cancer (e.g. age, personal history, family history) that would necessitate early screening, as seen in the case study (Kaminski et al., 2020).
  • Poor communication and interpersonal relations. Poor provider-provider and/or provider-patient communication on current symptoms, patient health history, and the importance of colonoscopy may result in failure to undergo colon cancer screening (AHRQ, 2022). For instance, the outpatient provider should have communicated with the patient’s primary care provider (PCP) to discuss presenting symptoms and risks, which would have resulted in ordering a colonoscopy based on the patient’s symptoms and risk factors. Also, the provider may have low engagement and interaction with the patient, creating a tense atmosphere that hinders the patient from comprehensively sharing their symptoms and risk factors. According to Blackmore et al. (2020), negative provider communication during the diagnostic process is linked with failure to conduct physical examinations, misdiagnosis, and a sense of dehumanization in patients.
  • Non-adherence to screening guidelines. The outpatient provider did not abide by the set clinical guidelines (e.g. American Cancer Society (ACS), American College of Gastroenterology (ACG), US Preventive Services Task Force (USPSTF) guideline for colon cancer screening), which recommend colonoscopy for cancer screening, which recommend regular colonoscopy for patients aged 45 and with specific risk factors (ACS, 2024; Shaukat et al., 2021; USPSTF, 2021). The provider’s non-adherence resulted in missed opportunities for early diagnosis.
  • System-related issues. Being an outpatient clinic, the facility may have lacked access to screening resources, adequate staff, or health information technologies to access current guidelines, limiting the ability of the provider to prioritize preventive care (Kaminski et al., 2020).

Other factors that contribute to the risk of delayed colon cancer diagnosis, as described by Jin et al. (2022) include patient refusal to have a colonoscopy, lack of adequate family support, dyspepsia, blood in stool, more symptom control measures, lower perceived symptom severity, low self-efficacy, low knowledge levels, high levels of stigma, and negative help-seeking behaviors and attitudes.

  1. Proactive measures
    1. Discuss three proactive measures to reduce or prevent the risk. Provide support from a scholarly source and use in-text citations.
  • The first proactive measure is the implementation of Clinical Decision Support Systems (CDSS) integrated with patient data and current practice guidelines to provide healthcare providers with real-time reminders/ alerts for colonoscopy in patients that meet the criteria for colon cancer screening. CDSS is effective in improving adherence to clinical practice guidelines and reducing diagnostic delays and errors (Olakotan & Mohd Yusof, 2021)……Click on the PayPal icon below to purchase full solution for $10

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