Assignment Task
Task
This task requires you to provide safe patient care by applying clinical leadership skills, clinical governance processes and change management models and strategies.
Review the patient incident in the coroner’s report below, then identify areas where leadership and governance failed. Identify relevant change opportunities related to the errors found in the report, and discuss potential challenges when implementing change in the clinical practice environment.
Coronial Naomi Williams an Aboriginal woman from Tumut
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You will be assessed on your ability to:
1. Refer to the EQUIP 6 Standards and Criteria to identify 3 criteria/standards that were not met and negatively impacted the care of Naomi Williams.
2. Discuss the interrelationship between clinical leadership and clinical governance in ensuring safe, quality patient care in the case study; then using the Swiss Cheese Model of Accident Causation, identify the systems and processes that resulted in the errors that led to the death of Naomi Williams.
3. Review the coroner’s recommendations and identify areas for change. Using Kotter’s 8-step change management model, justify how you would put the changes into practice.
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