You have just been hired by a struggling school that has received a grant to redesign the school, integrating traditional subjects with career and technical education. Patterned after the innovations in Finland that have done away with subject specific learning, you must help the school transition to a totally new model. Instead of a stand-alone class of math, history or science, students will work on projects that combine all subjects. Using what you have learned in Tony Wagner’s book, Most Likely to Succeed, suggest three stages of instructional transition that will transform the way the school works and better prepare students for the world that awaits them. Along with your stages of instruction, give examples for what that stage might look like in the classroom.

Each of you will write your own individual essay although you will be asked to engage with, and quote,
Your essay will be no fewer than 1200 and no more than 1500 words. Start your essay with one quote from the book – it need not be the lead for your article. Include at least 5 additional quotes from the book and include a page number.

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Write 8-10 pages in which you identify a major patient-safety issue  within your own organization and use evidence-based best practices and  technology to develop a plan to improve the safety issue.

Quality improvement and patient safety are central to the nursing leadership role.

Central to the nursing leadership role, quality improvement and  patient safety are analyzed from many perspectives. Types of quality  improvement and patient safety programs may range from internal,  organization-based quality improvement team reports to external  benchmarks from The Joint Commission, the Agency for Healthcare Research  and Quality (AHRQ), MAGNET, and numerous other organizations.

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A landmark 2001 publication by the Institute of Medicine (IOM)  identified the imperative to focus on quality care and patient safety.  The initiative to create cultures of patient safety and quality care  remain at the forefront of the health care leadership landscape. As a  future nursing leader, you must understand the components and use of  effective tools for successful quality improvement programs within your  practice setting.

In this program, you have also examined the application of  research and information technology in the nursing profession.  Information systems and patient-care technologies have contributed in  many ways to improved patient outcomes; however, safeguards, secure  practices, and ethical standards are necessary to promote and support  data security, patient confidentiality, and regulatory requirements. You  have also investigated the effective use of patient-care technologies,  communication systems, and information systems across the health-illness  continuum.

To help you prepare for this assessment, review the resources you used  and the assessments you completed in BSN-FP4004, BSN-FP4006, BSN-FP4008,  and BSN-FP4016.

Preparation

As you prepare for this assessment, complete the following:

1. Before you begin, examine your organization’s history of safety  in a specific area and how your organization addresses patient safety  issues. If possible, consult with a key stakeholder in the organization  (such as an administrator) to better understand specific patient-safety  concerns and how the organization is working to resolve the concerns.  This person should also be able to discuss some of the organizational  barriers impacting the patient safety issue.
2. Next, look at the basic concepts, principles, and practices that  contribute to organizational quality improvement and patient safety.  Review the literature for best practices and how technology might be  used to improve the issue.
3. Finally, be sure to consider the legal and ethical implications  associated with the safety issue, as well as possible organizational  barriers to change.

Directions

As you construct this assessment, address each point as completely as possible:

• Describe a patient-safety issue within your organization,  comparing the way your organization addresses the issue with the  concepts, principles, and practices that contribute to quality  improvement and patient safety.
• Analyze the legal and ethical consequences of not addressing the issue.
• Recommend evidence-based interventions, including technology, to address the patient-safety issue.
• Describe strategies to overcome specific organizational barriers to change, based on your knowledge of the organization.

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