HCS 451 Quality Dimensions and Measures Paper Discussion

HCS 451 Quality Dimensions and Measures Paper Discussion

Instructions:

HCS 451 Quality Dimensions and Measures Paper Discussion

As a team, consider the following scenario:

On Dec. 7, 2000, the Cincinnati Occupational Safety and Health Administration (OSHA) office heard through media and police reports that there were two deaths at a nursing home in Ohio. OSHA determined that the Food and Drug Administration (FDA) should take a lead role in performing an investigation.

Because the nursing home had many residents who had unhealthy respiratory systems, the nursing home routinely ordered and received tanks that contained pure oxygen. During one delivery, the supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label.

An employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery system. This event caused two nursing home residents to die, and three additional nursing home residents were admitted to hospitals in critical condition. Within the following month, two of these three additional residents also died, bringing the total death toll to four. (Based on accident #837914 www.osha.gov)

Write a 1,050- to 1,400-word paper in which your team compares the Normal Accident Theory to the Culture of Safety model. Include the following in your paper:

Explain what factors can play a role in organizational accidents similar to the one highlighted in the scenario.

How do organizational processes give rise to potential failures?

How can certain conditions influence errors and violations within the workplace (e.g. operating room, pharmacy, intensive care unit)?

What are the errors and violations committed by “sharp-end” individuals?

How does the breaching of defenses or safeguards affect these accidents?

Explain why the FDA, not OSHA, was responsible for investigating this case.

Explain how the Culture of Safety model could have been applied to reduce risk in this scenario. (THIS IS MY PART #3)

Explain the five general principles used in the Culture of Safety Model

Explain actions that could have been taken to manage risk by applying each of the five general principles used in the Culture of Safety Model to this scenario.

HCS 451 Quality Dimensions and Measures Paper Discussion

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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