The event to address:
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
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 patients 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
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
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. Patients 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.