HMGT 320 7980 Management in Health Care Organizations: bow-tie analysis
In Week 7, the class examined the Joint Commission’s framework for root cause analysis of sentinel Incidents in health care organizations. For purposes of this project, a critical incident is a key occurrence, but it is not a sentinel event. A bow-tie analysis places the critical incident at the center of the framework and identifies in graphic format the root cause leading up to the incident on the left side of the critical incident. On the right side of the incident, key preventive measures are graphically represented. In one image, you will capture the incident (at the center), the causes for failure in quality, and (on the right) preventive measures a manager can put in place to stop this failure from happening in the future. The final graphic will appear as a bow-tie.
•1 page (double spaced) Page should clearly articulate what the critical incident is and provide background.
•1 page Page should include the bow-tie analysis
•Reference Page (2 references minimum)
•Written document should conform to American Psychological Association (APA) 6th Edition
Please Read Carefully:
1. Topic Selection: Select a topic for the bow-tie analysis. You may select any topic and a list of examples topics have been provided below.
2. Discussion: One page minimum, clearly articulating the critical incident, or sentinel event, with a background on the topic that will be discussed.
- Important information to include in the 1-page discussion: Information on the situation for conducting a root cause analysis (RCA) using the quality improvement tool of the bow-tie analysis, which could describe the parties involved in the incident (healthcare setting’s leadership, clinical team, patients, or other parties); what was being examined (topic selection information); why was the information being examined; what was the issue being examined based on the topic selection information; potential ways the bow-tie analysis can support in resolving the issue; and an overview of how the bow-tie analysis was conducted.
- Clear & Concise Information: The discussion on the event must allow for a clear understanding regarding the situation that was applied for the bow-tie analysis.
- Approaches for the Discussion Aspect of the Task: Students may elect to present this information in a variety of ways. Examples: Standard paragraph form for the one-page minimum discussion; an introduction with a table of the items listed above with a closing paragraph; information presented in paragraph form followed by bulleted items listed above; or provide any other applicable discussion approach that demonstrates sound knowledge for all the required aspects for this task.
3. Illustration: Conduct the bow-tie analysis: 1-page illustration of a completed bow-tie analysis.
- The bow-tie analysis should be reflective of the information provided within the discussion aspect of this task.
- Bow-Tie Examples: Refer to reading materials for reference on how to conduct a bow-tie analysis or obtain examples from the UMUC library.
- Student’s Original Work: Copyrighted pictures, pictures from the internet, scanned images or other images are NOT allowed. The bow-tie analysis must be the student’s original work regarding the task that is being performed. Students may elect to complete the analysis in a separate document or complete the analysis on the same submission as the discussion aspect. Students that have taken this course previously have elected to use a secondary document such as Excel, Publisher, or PowerPoint to show their illustration. The illustration must be legible for full evaluation, meaning the illustration needs to clear enough to be read and examined for the bow-tie analysis.
4. Minimum 2 External Sources: Ensure at least two scholarly resources are provided and supported throughout the paper for supporting evidence. Students may elect to use the references provided within the final week or select other scholarly sources for the discussion.