This document discusses an adverse event case study involving a patient outcome, contributing factors, and the importance of patient safety culture. It instructs the reader to evaluate the impact of safety culture and create an improvement plan addressing the case study issues, analyzing best practices for safety culture.

1. Describe the adverse event that you selected as your case
Describe the adverse event that you selected as your case study. Include details of the
patient outcome and the contributing factors involved in the adverse event.Evaluate the
impact and importance of creating a patient safety culture in healthcare
organizations.Create an improvement plan to address the issues that were identified in your
adverse event case. Your plan shall include analysis of best practices in safety culture.