Part 1: Identify one or two “never events” relevant to your practice setting (private pay homecare assessment nurse). Describe the patient safety and financial impact these events have on your organization and the patients you serve.

 Part 1: Identify one or two “never events” relevant to your practice setting (private pay homecare assessment nurse). Describe the patient safety and financial impact these events have on your organization and the patients you serve. How does your workplace currently address prevention of these events?  

Part 2: “Never events” rarely result from a single error. Rather, they reflect system-level breakdowns. Using what you have learned this module, identify at least one contributing system factor (such as staffing, communication, workflow, or policy gaps) that underlies the never event you selected.  

Part 3: Briefly describe the clinical issue you are considering for your quality improvement project. Why is this issue significant to your patient population, and how does it connect to quality, safety, or cost-effective care in your setting?