For this assignment, students will review the case of an adverse event—the story of Brianna Cohen (also available in the Online Library)1. Briefly describe the incident (in 1 page or less)2. Describe the points at which failures occurred3. Identify the factors at various levels of the system that contributed to those failuresStudents are encouraged to use the ‘Investigating a defect’ tool described in Dr. Pronovost’s lecture and reading.The midterm paper will be graded on the basis of 100 possible points which will be allocated according to the following criteria:Description of the problem (20 points)Identification of the points at which failures occurred (20 points)Contributing factors (40 points)—- 5 points for identifying possible/probable factors at each of the following levels: –Patient/family–Task–Individual provider (physician, nurse, pharmacist, etc.)–Team–Training and education–Information Technology–Local environment (e.g., organizational, unit, division, department)–Institutional environmentReasoning and clarity of presentation (20 points)I have attached 3 PDF files of the this assignment please look at them carefully in order to do it.
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