Research the areas the coroner highlighted and base your academic research on these areas.

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Standard 4 of the Registered Nurse standards for practice stipulates (the Nursing and Midwifery Board of Australia, 2016,p4)that “RNs will accurately conduct comprehensive and systematic assessments. They analyse information and data and communicate outcomes as the basis for practice. Discuss the case of Vanessa Anderson.
Your essay should include discussion of the following points:

�The human factors focusing on communication that led to the adverse outcomes in this case.

�The coroner’s findings in relation to systems improvement and communication errors and how these errors became a catalyst for change.

�The role of the RN in the detection and reporting of clinical deterioration.

�The contributing factors in Vanessa death, focusing on the Coroners findings and the recommendations that resulted from the Coroner’s Inquest and the Garling report.

Support your discussion with particular focus on the academic literature surrounding the contributory factors of communication, patient safety, clinical handover and medication safety.

Planning

An academic paper uses the following features:
This paper requires you to read the associated literature surrounding Vanessa Anderson’s death identify key contributing factors as highlighted by the coroner and support your findings with information from the academic literature in relation to these findings.

�A body ( approximately 80% of the suggested word count )

�Read the question carefully and identify the main areas that you will be required to research.

�Read the reports and watch the videos associated with Vanessa’s death.

�Identify the coroner’s recommendations.

� Research the areas the coroner highlighted and base your academic research on these areas.

Choose one of the case world scenarios used in this topic to develop a written piece of work that demonstrates their capacity to critically analyse a patient situation.

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Critical reflection is an extension of critical thinking and requires students to think about their practice and to examine their thinking by asking probing questions. Critical reflection moves beyond examining past situations and moves forward to apply theoretical knowledge to the future. In this assignment students must ;
� choose one of the case world scenarios used in this topic to develop a written piece of work that demonstrates their capacity to critically analyse a patient situation.
� consider the following theoretical perspectives : pathophysiology, relevant pharmacology, anatomy and physiology best practice, inter-professional roles in patient centred care, lifespan and psychosocial issues and choose four (4) perspectives, from the chosen case world scenario for extended discussion within your assignment.
� demonstrate the capacity to think critically and relate theoretical concepts to clinical practice.
� use the following headings in the structure of their paper:

Introduction
Purpose of this paper.
Introduce the patient, and the scenario.
Introduce the four chosen perspectives discussed in this paper.

Extended discussions of each of the four (4) chosen perspectives. How does theoretical knowledge of the four perspectives inform and support decisions made in clinical practice.
Theoretical foundation of the chosen perspective
Identify objective & subjective data Provide a brief rationale for each of the perspectives identified.
How does the theory influence and inform care provided
Demonstrate integration of knowledge to care provided:
o eg. best practice, patient centred care, pharmacology, inter-professional roles, lifespan and psychosocial issues, pathophysiology.
Demonstrate understanding of the importance of Evidence Based Practice in nursing practice,
demonstrate capacity to think critically and link theoretical concepts with clinical practice

Create a well-designed project plan that would benefit both patients and the health system.

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Project and Change Management
Final Project

Choose a problem that exists at your facility that is high value for patients and the health system. Consider the IHI Triple Aim goals to optimize patient outcomes, value and cost.

This can be a quality improvement initiative based on internal data or a project based on a regulatory change that requires a change in process.

Using an evidence-based solution from research and clinical practice guidelines, create a well-designed project plan that would benefit both patients and the health system.
Your paper should include:

Introduction that includes scope of the problem including internal and external data/statistics to support the problem
Evidence-based solution from research or clinical practice guidelines
Anticipated impact that the project will have and explanation of how findings will close gaps identified by the SWOT analysis and needs assessment
Purpose/Goals
Theoretical nursing models or change theories to support the project
Internal & external stakeholders
Team members including description and roles
Action plan to include implementation strategies, deliverables and technology needs
Time specific milestones
Evaluation metrics for process and outcome indicators
Sustainability measures
Dissemination measures
The requirements below must be met for your paper to be accepted and graded:

Write between 2,500 3,000 words (approximately 10 12 pages) using Microsoft Word in APA style, see example below.

Decision Analysis

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Task

QUESTION 1 Decision Analysis

Show all calculations to support your answers. You may follow the methods shown in the mp4 on Decision Analysis for a way to do part (b) of this question if you wish.

20 marks – 10 for (a), 10 for (b).

  1. a)      People frequently use three heuristics to assess probabilities and to predict values. Identify and describe these heuristics and identify and explain a bias to which each of these heuristics lead.
  1. b)      Martha Jones is considering investing money in three alternative investments over a one-year period. Below are the expected profits from each investment given assumptions about the state of the economy:
Decision AlternativeGood EconomyPoor Economy
Stock market$200,000-$60,000
Bonds$80,000$45,000
Term deposit$45,000$35,000
  1. i)       If Martha is an optimist which investment should she choose?
  2. ii)      If Martha is a pessimist which investment should she choose?

iii)     Following the criterion of regret which investment should she choose?

  1. iv)     If Martha believes that there is a 65% chance of a good economy which investment should she choose?
  2. v)      What is the expected value of perfect information about the state of the economy?

QUESTION 2 Value of information

Show all calculations to support your answers. You may follow the methods shown in the mp4 on

Value of info for a way to answer this question if you wish.

20 marks – 4 for (a), 8 for (b), 2 for (c), 6 for (d)

A manufacturer is trying to choose between two production methods (a1 and a2) for a new product. He considers that the probability of demand for the new product being good (s1) is 0.3 and the probability that demand will be poor (s2) is 0.7.

In evaluating the two production methods the manufacturer has calculated the following table of conditional profits:

 s1s2
a130,00016,000
a210,00024,000
  1. a)      Which production method should be used? Show calculations.

The manufacturer asks a marketing consult for an opinion as to whether demand will be good or poor. From previous experience when the consultant has indicated that demand will be good she has been right 80% of the time, and when she has indicated that demand will be poor she has been right 65% of the time.

  1. b)      Revise the prior probabilities in light of the consultant’s track record.
  2. c)       What is the posterior probability of good demand given that the consultant has indicated demand will be good?
  3. d)      What is the expected net gain or loss from engaging the consultant? Should the consultant be engaged? Explain the reasoning for your answer.

QUESTION 3 Simulation

This is a work integrated assessment item. The tasks are similar to what would be carried out in the workplace.

10 marks

A general practice has a nurse to attend patients with wounds and who need vaccinations. From an analysis of one week’s operation of the nursing service the following data were derived:

Time between arrivalsNumber of occasions
1010
1520
2025
2530
3015
Service time (minutes)Number of occasions
1040
1520
2020
3010
3010

Using Excel set up a simulation model to simulate about 2 hours (120 minutes) from time zero, and determine whether one nurse is sufficient or whether a second nurse is needed in the practice.

Show the data and the model in two printouts: (1) the results, and (2) the formulas. Both printouts

must show row and column numbers and be copied from Excel into Word. See Spreadsheet Advice in

Interact Resources for guidance.

QUESTION 4 Regression Analysis and Cost Estimation

20 marks – 4 for (a), 12 for (b), 4 for (c).

Quick Copy has recorded the following Maintenance Costs and two possible cost drivers over the last year.

MonthNumber of photocopiesHours of maintenance serviceMaintenance costs
January80,0005254,710
February68,0005054,310
March69,0003102,990
April64,0004954,200
May90,0003153,000
June85,0004854,215
July55,0003152,950
August85,0004053,680
September62,0004754,100
October82,0003453,250
November60,0003503,260
December70,0003353,015
  1. a)      Using the High-Low method of cost estimation and Number of Photocopies as the cost driver, what would be the resulting cost equation for Maintenance Costs?
  1. b)      Using Excel, perform three regression analyses to regress Maintenance Costs against Number of Photocopies, then against number of Hours of Maintenance Service, then against both of them simultaneously. Paste your results into Word. State the cost equation from each. Prepare a report to management including an analysis and comment on the results of each regression with a reasoned recommendation of the best cost driver to use in the future.
  1. c)       If the simple regression using Number of Photocopies were adopted, what would be the predicted overhead in a month when there were 85,000 photocopies and 500 hours of maintenance service?

QUESTION 5 CVP Analysis

20 marks – 4 for (a), 4 for (b), 4 for (c), 8 for (d).

A smart phone manufacturer makes two types of smart phones, Connect32 and Connect64. He has sales staff who sell the phones on commission. The following data are available:

ProductSales PriceVariable Production Cost  Sales Commission
Connect32$600$100$20
Connect64$850$375$35

Fixed costs per annum are $120,000.

  1. a)      Calculate the unit contribution margin for each product.
  2. b)      This year the manufacturer will specialise in making only Connect32 phones. How many does he need to sell to    break even?
  3. c)       If Connect32 phones are still the only product what is the breakeven sales volume for the year in sales dollars?
  4. d)      He now decides to manufacture both phones this year in the ratio of 3 Connect64 to 1 Connect32.
  5. How many of each phone must be sold to earn a profit of $195,000 before tax for the year?
  6. How many of each phone must be sold to earn a profit of $140,000 after tax (of 30c in the dollar) for the year?

Question 6 Forecasting

10 marks – 2 for (a), 2 for (b), 2 for (c) and 4 for (d).

Use Excel QM software to generate your answers to parts a), b) and c). Paste the results, both the answers and the formulas into your Word document. Both should show row and column numbers.

The following data has been collected for the demand for 20 kg bags of potting mix for the Grow-Well Garden Supplies Company.

YearDemand for potting mix (1,000 of bags)
14
26
34
45
510
68
77
89
912
1014
1115
  1. a)      Develop a 3 year moving average to forecast sales.
  2. b)      Estimate demand with a weighted moving average in which sales in the most recent year are given a weight of 2 and sales in the other 3 years are each given a weight of 1.
  3. c)       Develop a trend line for the demand for potting mix.
  4. d)      Which of the three methods above, 3 year moving average, a weighted moving average or a trend line would you use. Explain your answer.

Rationale

This assessment task covers topics 3,4,5,6 and 8: Decision analysis and value of information, simulation, correlation and regression analysis and CVP analysis. Specifically, it seeks to assess your ability to complete the following subject learning outcomes:

  • apply decision theory to business situations
  • use simulation in complex decisions
  • demonstrate understanding of the application of statistical hypothesis testing in regression analysis
  • apply CVP analysis to product mix decisions involving single and multiple products