A 43 years old patient was hospitalized once 15 days ago.

 

A 43 years old patient was hospitalized once 15 days ago.

 

 

A 43 years old patient was hospitalized once 15 days ago. He had a transmetatarsal amputation of the left foot

secondary to diabetes mellitus type 1 and cellulites six month ago, he is not aware of how complicated his condition is

and the possible complications that he could have. The patient also had a transmetatarsal amputation of the right foot

six months ago secondary to diabetes. According to the patient history one of the main problems is that he has history

of alcohol and drug abuse, he has not complied with the treatment of diabetes and with the post operative care required

after the first amputation.
The topic to address is Quality and Safety Education for Nurses (QSEN). Please write about the 6 competencies of QSEN

How each of the 6 QSEN competencies were follow or not followed using this patient history and the WRONG DIAGNOSIS that

he suffered during his stay in the hospital. During the stay in the hospital the patient developed certain symptoms

that were diagnosed with a parasitic infection, while the real problem was kidney failure. To authenticate the

symptoms, the practitioner is expected to conduct a series of tests, which will affirm the real issue affecting the

patient. In this case, the doctor performed a urine test with the aim of establishing whether the patient had a urinary

tract infection. Showing the present of some bacteria, the doctor concluded that the patient was suffering from

parasitic infection in the urinary system, specifically the bladder. Since the patient exhibited other symptoms such as

fever and pain on the side, the doctor deemed it unnecessary to conduct further diagnosis such as scans. For this

reason, the doctor never recommended dialysis but rather offer the patient antibiotics and as a result, the patient’s

condition deteriorated.

Quality and Safety Education for Nurses (QSEN)
• The purpose of this assignment is to identify a problem in the clinical area and to utilize evidence-based strategies

to improve the quality and safety of patient care. For more information about the QSEN, go to

https://www.qsen.org/ksas_prelicensure.php
• In 2008, a committee of healthcare experts proposed 6 competencies to ensure that nursing students develop the

knowledge, skills and attitude (KSA) necessary to provide quality and safety patient care.

1. Patient-Centered Care
2. Teamwork and Collaboration
3. Evidence-Based Practice
4. Quality Improvement
5. Safety
6. Informatics
Assignment Criteria:

A. Identify an event that happened in the clinical area during practicum; discuss how this could have caused or did

cause a negative patient outcome.

B. Develop a scenario to illustrate the problem. Patient’s identifiers are not to be used.

C. Discuss how each of the 6 QSEN competencies were or were not followed and ultimately caused, or could have caused a

negative patient outcome.

D. Discuss the importance of integrating the QSEN competencies into the following areas; clinical practice, nursing

education, and nursing research. Each point must be specifically addressed in a separate section.

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