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  • [Solved] Unit III Project

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    See attached – ## UnitIII_Project_Template1.docx – ## UnitIIIProjectInstructions.docx – ## UnitIIIProject.docx – ## UnitIII_Cookie_Project_Spreadsheet_Templates.xlsx – UnitIIIStudyGuide.pdf **## UnitIII_Project_Template1.docx** 1 2 **Title of the Paper Goes Here** Student Name Institution AC…

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    Assignment Prompt & Instructions

    See attached

    – ## UnitIII_Project_Template1.docx

    – ## UnitIIIProjectInstructions.docx

    – ## UnitIIIProject.docx

    – ## UnitIII_Cookie_Project_Spreadsheet_Templates.xlsx

    – UnitIIIStudyGuide.pdf

    **## UnitIII_Project_Template1.docx**

    1

    2

    **Title of the Paper Goes Here**

    Student Name

    Institution

    ACC 5301 Management Applications of Accounting

    Instructor

    Date

    **Title of Paper**

    Remember this part of the paper is double spaced in APA format.

    The
    _Introduction_ should lead readers into the topic and its importance. Introductions typically include the overall topic of the paper, the specific focus of the paper within the larger topic, the main points in the paper, the kind of paper (study, argument, critique, discussion), and the purpose.

    _Writing tip:_ The length of the introduction should be in proportion to the length of the paper. Also ask yourself, “With my purpose and my audience, how do I engage my readers best?” In the introduction, you set the tone of the piece, establish your voice, and demonstrate your writing style; be authentic to your purpose and your audience.

    **Part 1 Establish Cookie Business**

    _Identify_ the name of your company, location, mission statement for your business, and type of cookie you plan to make. Keep in mind that you are only making one type of cookie for this project.

    **Part 2 Costing and Sales Information**

    _Analyze_ and discuss the estimated cost per cookie using job order costing, the estimated cost per cookie using process costing, and the estimated sales price per cookie. Embed your spreadsheets to justify your costs.

    **Part 3 Compare and Contrast Costing Methods**

    _Analyze_ and discuss the major differences you see between the types of costing. Which do you believe is more useful for this business, and why?

    **Part 4 Impact of Increase and Decrease in Sales**

    _Discuss_ what will happen to revenue if the number of cookies sold increases or decreases.

    **Conclusions and Recommendations**

    _The Conclusion_ section
    should summarize for the readers the topics of importance that led to your final conclusions/analysis regarding this case. Include some specific areas of focus from your analysis to reinforce your conclusion.

    **References**

    Include complete references in proper APA format for all of the citations
    _listed_ in your paper. Be sure to use the library for the required number of sources. Additional sources can be used but should be scholarly. Present your references in alphabetical order.

    **## UnitIIIProjectInstructions.docx**

    **Assignment Objective:** In this project, you will be opening your own specialty cookie company to see how product costing methods and changes in production affect business decisions. You will be creating a series of reports and analyzing the results using the template provided to guide you through the project. You will:

    1. Gain an understanding of product costing (direct materials, direct labor, and overhead).

    2. Review job order costing.

    3. Review process costing.

    4. Make business decisions based on analyzing accounting data.

    **Length:** You will prepare a three- to four-page written report (including spreadsheets) using the
    [Unit III Project Template](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894059_1/xid-160894059_1).

    **References:** At least two peer-reviewed sources are required. Resources used are required to be scholarly/academic in nature and found in the CSU Library. APA Style is required for citations and references.

    **Details:** First, start the paper with an introduction section per the assignment template provided above.

    Part 1: Establish a cookie business selling only one type of specialty cookie with two employees making the cookies.

    · Create a name and establish a location for the business.

    · Construct a mission statement for the business.

    · Decide on the type of cookie you want to make and sell.

    Part 2: Develop costing and sales information for 1,000 cookies (this is the first and only order).

    · Estimate and explain the cost per cookie based on job order costing (manufacturing overhead is 30% of direct labor costs). Prepare a job order cost sheet by researching and identifying the top five ingredients and their estimated costs as your direct materials. Research and identify the cost of wages for your two employees as your direct labor. It typically takes two days to make 1,000 cookies.

    · For process costing, examine the costs per 1,000 cookies looking at these top three processes (departments): Mixing, Add-ins, Packaging.

    · The Mixing Department will be examined in depth (only do this department).

    · All materials will be added in at the beginning of the process.

    · The cookies will be in the Mixing Department for a total of 8 hours (use two employees, 4 hours each as your direct labor). The cookies will be 100% complete with respect to materials, and only be 40% complete with respect to conversion costs (labor and overhead) before they are transferred to the Add-ins Department. Manufacturing overhead is 30% of direct labor costs.

    · Estimate and explain the sales price you plan to set per cookie based on the cost data.

    Part 3: Define job order and process costing. Then, compare and contrast the costing methods used in this project (job order vs. process costing), including which you believe provides the most useful information as a manager.

    Part 4: Discuss what will happen to revenue if the number of the cookies sold increases or decreases.

    **## UnitIIIProject.docx**

    **Unit III Project**

    **Cookie Business**

    This project measures your mastery of ULOs 2.1, 3.5, and 3.6.

    **Assignment Objective:** In this project, you will be opening your own specialty cookie company to see how product costing methods and changes in production affect business decisions. You will be creating a series of reports and analyzing the results using the template provided to guide you through the project. You will:

    1. Gain an understanding of product costing (direct materials, direct labor, and overhead).

    2. Review job order costing.

    3. Review process costing.

    4. Make business decisions based on analyzing accounting data.

    **Length:** You will prepare a three- to four-page written report (including spreadsheets) using the
    [Unit III Project Template](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894059_1/xid-160894059_1).

    **References:** At least two peer-reviewed sources are required. Resources used are required to be scholarly/academic in nature and found in the CSU Library. APA Style is required for citations and references.

    **Details:** First, start the paper with an introduction section per the assignment template provided above.

    Part 1: Establish a cookie business selling only one type of specialty cookie with two employees making the cookies.

    · Create a name and establish a location for the business.

    · Construct a mission statement for the business.

    · Decide on the type of cookie you want to make and sell.

    Part 2: Develop costing and sales information for 1,000 cookies (this is the first and only order).

    · Estimate and explain the cost per cookie based on job order costing (manufacturing overhead is 30% of direct labor costs). Prepare a job order cost sheet by researching and identifying the top five ingredients and their estimated costs as your direct materials. Research and identify the cost of wages for your two employees as your direct labor. It typically takes two days to make 1,000 cookies.

    · For process costing, examine the costs per 1,000 cookies looking at these top three processes (departments): Mixing, Add-ins, Packaging.

    · The Mixing Department will be examined in depth (only do this department).

    · All materials will be added in at the beginning of the process.

    · The cookies will be in the Mixing Department for a total of 8 hours (use two employees, 4 hours each as your direct labor). The cookies will be 100% complete with respect to materials, and only be 40% complete with respect to conversion costs (labor and overhead) before they are transferred to the Add-ins Department. Manufacturing overhead is 30% of direct labor costs.

    · Estimate and explain the sales price you plan to set per cookie based on the cost data.

    Part 3: Define job order and process costing. Then, compare and contrast the costing methods used in this project (job order vs. process costing), including which you believe provides the most useful information as a manager.

    Part 4: Discuss what will happen to revenue if the number of the cookies sold increases or decreases.

    End this paper with the key observations and present any future recommendations.

    Use the
    [Unit III Cookie Project Spreadsheet Templates](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894062_1/xid-160894062_1) for your job order, and process costing spreadsheets to be embedded in your case study document.

    **## UnitIII_Cookie_Project_Spreadsheet_Templates.xlsx**

    ## Job Order

    | | | | | | | | | | |
    | — | — | — | — | — | — | — | — | — | — |
    | <Name of Company Here> |
    | Job Order Cost Sheet |
    | Job number: |
    | Direct Material | | | Direct Labor | | | | | Manufacturing overhead |
    | Ingredients | Total Cost per ingredient | | Date | Hours | Rate | Total Cost per employee | | | Total Cost |
    | <list 5 ingredients and their costs> | | | <2 employees> | | | | | <30% of Direct Labor Costs> |

    | Total | | | | | | – 0 | | | – 0 |

    | Cost Summary |
    | Direct Materials | – 0 |
    | Direct Labor | – 0 |
    | Manufacturing Overhead | – 0 |
    | | – 0 |
    | Units | 1,000 |
    | Cost per unit | – 0 |

    ## Process Costing

    | | | | | | |
    | — | — | — | — | — | — |
    | <Name of Company Here> |
    | Production Cost Report |
    | Department: | <Select one department in your cookie making process> |
    | Cost: | Material | Labor | Overhead | Trans In | Total |
    | Beginning WIP |
    | Cost incurred |
    | Total |

    | Units: |
    | Units Completed |
    | Equivalent Units (ending WIP) |
    | Total |

    | Cost per Equivalent unit |

    ## Sheet3

    |
    |

    **UnitIIIStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitiiistudyguide-pdf-10351197)

    **UnitIIIStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitiiistudyguide-pdf-10351197)

    **## UnitIII_Project_Template1.docx**

    1

    2

    **Title of the Paper Goes Here**

    Student Name

    Institution

    ACC 5301 Management Applications of Accounting

    Instructor

    Date

    **Title of Paper**

    Remember this part of the paper is double spaced in APA format.

    The
    _Introduction_ should lead readers into the topic and its importance. Introductions typically include the overall topic of the paper, the specific focus of the paper within the larger topic, the main points in the paper, the kind of paper (study, argument, critique, discussion), and the purpose.

    _Writing tip:_ The length of the introduction should be in proportion to the length of the paper. Also ask yourself, “With my purpose and my audience, how do I engage my readers best?” In the introduction, you set the tone of the piece, establish your voice, and demonstrate your writing style; be authentic to your purpose and your audience.

    **Part 1 Establish Cookie Business**

    _Identify_ the name of your company, location, mission statement for your business, and type of cookie you plan to make. Keep in mind that you are only making one type of cookie for this project.

    **Part 2 Costing and Sales Information**

    _Analyze_ and discuss the estimated cost per cookie using job order costing, the estimated cost per cookie using process costing, and the estimated sales price per cookie. Embed your spreadsheets to justify your costs.

    **Part 3 Compare and Contrast Costing Methods**

    _Analyze_ and discuss the major differences you see between the types of costing. Which do you believe is more useful for this business, and why?

    **Part 4 Impact of Increase and Decrease in Sales**

    _Discuss_ what will happen to revenue if the number of cookies sold increases or decreases.

    **Conclusions and Recommendations**

    _The Conclusion_ section
    should summarize for the readers the topics of importance that led to your final conclusions/analysis regarding this case. Include some specific areas of focus from your analysis to reinforce your conclusion.

    **References**

    Include complete references in proper APA format for all of the citations
    _listed_ in your paper. Be sure to use the library for the required number of sources. Additional sources can be used but should be scholarly. Present your references in alphabetical order.

    **## UnitIIIProjectInstructions.docx**

    **Assignment Objective:** In this project, you will be opening your own specialty cookie company to see how product costing methods and changes in production affect business decisions. You will be creating a series of reports and analyzing the results using the template provided to guide you through the project. You will:

    1. Gain an understanding of product costing (direct materials, direct labor, and overhead).

    2. Review job order costing.

    3. Review process costing.

    4. Make business decisions based on analyzing accounting data.

    **Length:** You will prepare a three- to four-page written report (including spreadsheets) using the
    [Unit III Project Template](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894059_1/xid-160894059_1).

    **References:** At least two peer-reviewed sources are required. Resources used are required to be scholarly/academic in nature and found in the CSU Library. APA Style is required for citations and references.

    **Details:** First, start the paper with an introduction section per the assignment template provided above.

    Part 1: Establish a cookie business selling only one type of specialty cookie with two employees making the cookies.

    · Create a name and establish a location for the business.

    · Construct a mission statement for the business.

    · Decide on the type of cookie you want to make and sell.

    Part 2: Develop costing and sales information for 1,000 cookies (this is the first and only order).

    · Estimate and explain the cost per cookie based on job order costing (manufacturing overhead is 30% of direct labor costs). Prepare a job order cost sheet by researching and identifying the top five ingredients and their estimated costs as your direct materials. Research and identify the cost of wages for your two employees as your direct labor. It typically takes two days to make 1,000 cookies.

    · For process costing, examine the costs per 1,000 cookies looking at these top three processes (departments): Mixing, Add-ins, Packaging.

    · The Mixing Department will be examined in depth (only do this department).

    · All materials will be added in at the beginning of the process.

    · The cookies will be in the Mixing Department for a total of 8 hours (use two employees, 4 hours each as your direct labor). The cookies will be 100% complete with respect to materials, and only be 40% complete with respect to conversion costs (labor and overhead) before they are transferred to the Add-ins Department. Manufacturing overhead is 30% of direct labor costs.

    · Estimate and explain the sales price you plan to set per cookie based on the cost data.

    Part 3: Define job order and process costing. Then, compare and contrast the costing methods used in this project (job order vs. process costing), including which you believe provides the most useful information as a manager.

    Part 4: Discuss what will happen to revenue if the number of the cookies sold increases or decreases.

    **## UnitIIIProject.docx**

    **Unit III Project**

    **Cookie Business**

    This project measures your mastery of ULOs 2.1, 3.5, and 3.6.

    **Assignment Objective:** In this project, you will be opening your own specialty cookie company to see how product costing methods and changes in production affect business decisions. You will be creating a series of reports and analyzing the results using the template provided to guide you through the project. You will:

    1. Gain an understanding of product costing (direct materials, direct labor, and overhead).

    2. Review job order costing.

    3. Review process costing.

    4. Make business decisions based on analyzing accounting data.

    **Length:** You will prepare a three- to four-page written report (including spreadsheets) using the
    [Unit III Project Template](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894059_1/xid-160894059_1).

    **References:** At least two peer-reviewed sources are required. Resources used are required to be scholarly/academic in nature and found in the CSU Library. APA Style is required for citations and references.

    **Details:** First, start the paper with an introduction section per the assignment template provided above.

    Part 1: Establish a cookie business selling only one type of specialty cookie with two employees making the cookies.

    · Create a name and establish a location for the business.

    · Construct a mission statement for the business.

    · Decide on the type of cookie you want to make and sell.

    Part 2: Develop costing and sales information for 1,000 cookies (this is the first and only order).

    · Estimate and explain the cost per cookie based on job order costing (manufacturing overhead is 30% of direct labor costs). Prepare a job order cost sheet by researching and identifying the top five ingredients and their estimated costs as your direct materials. Research and identify the cost of wages for your two employees as your direct labor. It typically takes two days to make 1,000 cookies.

    · For process costing, examine the costs per 1,000 cookies looking at these top three processes (departments): Mixing, Add-ins, Packaging.

    · The Mixing Department will be examined in depth (only do this department).

    · All materials will be added in at the beginning of the process.

    · The cookies will be in the Mixing Department for a total of 8 hours (use two employees, 4 hours each as your direct labor). The cookies will be 100% complete with respect to materials, and only be 40% complete with respect to conversion costs (labor and overhead) before they are transferred to the Add-ins Department. Manufacturing overhead is 30% of direct labor costs.

    · Estimate and explain the sales price you plan to set per cookie based on the cost data.

    Part 3: Define job order and process costing. Then, compare and contrast the costing methods used in this project (job order vs. process costing), including which you believe provides the most useful information as a manager.

    Part 4: Discuss what will happen to revenue if the number of the cookies sold increases or decreases.

    End this paper with the key observations and present any future recommendations.

    Use the
    [Unit III Cookie Project Spreadsheet Templates](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894062_1/xid-160894062_1) for your job order, and process costing spreadsheets to be embedded in your case study document.

    **## UnitIII_Cookie_Project_Spreadsheet_Templates.xlsx**

    ## Job Order

    | | | | | | | | | | |
    | — | — | — | — | — | — | — | — | — | — |
    | <Name of Company Here> |
    | Job Order Cost Sheet |
    | Job number: |
    | Direct Material | | | Direct Labor | | | | | Manufacturing overhead |
    | Ingredients | Total Cost per ingredient | | Date | Hours | Rate | Total Cost per employee | | | Total Cost |
    | <list 5 ingredients and their costs> | | | <2 employees> | | | | | <30% of Direct Labor Costs> |

    | Total | | | | | | – 0 | | | – 0 |

    | Cost Summary |
    | Direct Materials | – 0 |
    | Direct Labor | – 0 |
    | Manufacturing Overhead | – 0 |
    | | – 0 |
    | Units | 1,000 |
    | Cost per unit | – 0 |

    ## Process Costing

    | | | | | | |
    | — | — | — | — | — | — |
    | <Name of Company Here> |
    | Production Cost Report |
    | Department: | <Select one department in your cookie making process> |
    | Cost: | Material | Labor | Overhead | Trans In | Total |
    | Beginning WIP |
    | Cost incurred |
    | Total |

    | Units: |
    | Units Completed |
    | Equivalent Units (ending WIP) |
    | Total |

    | Cost per Equivalent unit |

    ## Sheet3

    |
    |

    **UnitIIIStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitiiistudyguide-pdf-10351197)

    **## UnitIII_Project_Template1.docx**

    1

    2

    **Title of the Paper Goes Here**

    Student Name

    Institution

    ACC 5301 Management Applications of Accounting

    Instructor

    Date

    **Title of Paper**

    Remember this part of the paper is double spaced in APA format.

    The
    _Introduction_ should lead readers into the topic and its importance. Introductions typically include the overall topic of the paper, the specific focus of the paper within the larger topic, the main points in the paper, the kind of paper (study, argument, critique, discussion), and the purpose.

    _Writing tip:_ The length of the introduction should be in proportion to the length of the paper. Also ask yourself, “With my purpose and my audience, how do I engage my readers best?” In the introduction, you set the tone of the piece, establish your voice, and demonstrate your writing style; be authentic to your purpose and your audience.

    **Part 1 Establish Cookie Business**

    _Identify_ the name of your company, location, mission statement for your business, and type of cookie you plan to make. Keep in mind that you are only making one type of cookie for this project.

    **Part 2 Costing and Sales Information**

    _Analyze_ and discuss the estimated cost per cookie using job order costing, the estimated cost per cookie using process costing, and the estimated sales price per cookie. Embed your spreadsheets to justify your costs.

    **Part 3 Compare and Contrast Costing Methods**

    _Analyze_ and discuss the major differences you see between the types of costing. Which do you believe is more useful for this business, and why?

    **Part 4 Impact of Increase and Decrease in Sales**

    _Discuss_ what will happen to revenue if the number of cookies sold increases or decreases.

    **Conclusions and Recommendations**

    _The Conclusion_ section
    should summarize for the readers the topics of importance that led to your final conclusions/analysis regarding this case. Include some specific areas of focus from your analysis to reinforce your conclusion.

    **References**

    Include complete references in proper APA format for all of the citations
    _listed_ in your paper. Be sure to use the library for the required number of sources. Additional sources can be used but should be scholarly. Present your references in alphabetical order.

    **## UnitIIIProjectInstructions.docx**

    **Assignment Objective:** In this project, you will be opening your own specialty cookie company to see how product costing methods and changes in production affect business decisions. You will be creating a series of reports and analyzing the results using the template provided to guide you through the project. You will:

    1. Gain an understanding of product costing (direct materials, direct labor, and overhead).

    2. Review job order costing.

    3. Review process costing.

    4. Make business decisions based on analyzing accounting data.

    **Length:** You will prepare a three- to four-page written report (including spreadsheets) using the
    [Unit III Project Template](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894059_1/xid-160894059_1).

    **References:** At least two peer-reviewed sources are required. Resources used are required to be scholarly/academic in nature and found in the CSU Library. APA Style is required for citations and references.

    **Details:** First, start the paper with an introduction section per the assignment template provided above.

    Part 1: Establish a cookie business selling only one type of specialty cookie with two employees making the cookies.

    · Create a name and establish a location for the business.

    · Construct a mission statement for the business.

    · Decide on the type of cookie you want to make and sell.

    Part 2: Develop costing and sales information for 1,000 cookies (this is the first and only order).

    · Estimate and explain the cost per cookie based on job order costing (manufacturing overhead is 30% of direct labor costs). Prepare a job order cost sheet by researching and identifying the top five ingredients and their estimated costs as your direct materials. Research and identify the cost of wages for your two employees as your direct labor. It typically takes two days to make 1,000 cookies.

    · For process costing, examine the costs per 1,000 cookies looking at these top three processes (departments): Mixing, Add-ins, Packaging.

    · The Mixing Department will be examined in depth (only do this department).

    · All materials will be added in at the beginning of the process.

    · The cookies will be in the Mixing Department for a total of 8 hours (use two employees, 4 hours each as your direct labor). The cookies will be 100% complete with respect to materials, and only be 40% complete with respect to conversion costs (labor and overhead) before they are transferred to the Add-ins Department. Manufacturing overhead is 30% of direct labor costs.

    · Estimate and explain the sales price you plan to set per cookie based on the cost data.

    Part 3: Define job order and process costing. Then, compare and contrast the costing methods used in this project (job order vs. process costing), including which you believe provides the most useful information as a manager.

    Part 4: Discuss what will happen to revenue if the number of the cookies sold increases or decreases.

    **## UnitIIIProject.docx**

    **Unit III Project**

    **Cookie Business**

    This project measures your mastery of ULOs 2.1, 3.5, and 3.6.

    **Assignment Objective:** In this project, you will be opening your own specialty cookie company to see how product costing methods and changes in production affect business decisions. You will be creating a series of reports and analyzing the results using the template provided to guide you through the project. You will:

    1. Gain an understanding of product costing (direct materials, direct labor, and overhead).

    2. Review job order costing.

    3. Review process costing.

    4. Make business decisions based on analyzing accounting data.

    **Length:** You will prepare a three- to four-page written report (including spreadsheets) using the
    [Unit III Project Template](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894059_1/xid-160894059_1).

    **References:** At least two peer-reviewed sources are required. Resources used are required to be scholarly/academic in nature and found in the CSU Library. APA Style is required for citations and references.

    **Details:** First, start the paper with an introduction section per the assignment template provided above.

    Part 1: Establish a cookie business selling only one type of specialty cookie with two employees making the cookies.

    · Create a name and establish a location for the business.

    · Construct a mission statement for the business.

    · Decide on the type of cookie you want to make and sell.

    Part 2: Develop costing and sales information for 1,000 cookies (this is the first and only order).

    · Estimate and explain the cost per cookie based on job order costing (manufacturing overhead is 30% of direct labor costs). Prepare a job order cost sheet by researching and identifying the top five ingredients and their estimated costs as your direct materials. Research and identify the cost of wages for your two employees as your direct labor. It typically takes two days to make 1,000 cookies.

    · For process costing, examine the costs per 1,000 cookies looking at these top three processes (departments): Mixing, Add-ins, Packaging.

    · The Mixing Department will be examined in depth (only do this department).

    · All materials will be added in at the beginning of the process.

    · The cookies will be in the Mixing Department for a total of 8 hours (use two employees, 4 hours each as your direct labor). The cookies will be 100% complete with respect to materials, and only be 40% complete with respect to conversion costs (labor and overhead) before they are transferred to the Add-ins Department. Manufacturing overhead is 30% of direct labor costs.

    · Estimate and explain the sales price you plan to set per cookie based on the cost data.

    Part 3: Define job order and process costing. Then, compare and contrast the costing methods used in this project (job order vs. process costing), including which you believe provides the most useful information as a manager.

    Part 4: Discuss what will happen to revenue if the number of the cookies sold increases or decreases.

    End this paper with the key observations and present any future recommendations.

    Use the
    [Unit III Cookie Project Spreadsheet Templates](https://online.columbiasouthern.edu/bbcswebdav/pid-17401295-dt-asiobject-rid-160894062_1/xid-160894062_1) for your job order, and process costing spreadsheets to be embedded in your case study document.

    **## UnitIII_Cookie_Project_Spreadsheet_Templates.xlsx**

    ## Job Order

    | | | | | | | | | | |
    | — | — | — | — | — | — | — | — | — | — |
    | <Name of Company Here> |
    | Job Order Cost Sheet |
    | Job number: |
    | Direct Material | | | Direct Labor | | | | | Manufacturing overhead |
    | Ingredients | Total Cost per ingredient | | Date | Hours | Rate | Total Cost per employee | | | Total Cost |
    | <list 5 ingredients and their costs> | | | <2 employees> | | | | | <30% of Direct Labor Costs> |

    | Total | | | | | | – 0 | | | – 0 |

    | Cost Summary |
    | Direct Materials | – 0 |
    | Direct Labor | – 0 |
    | Manufacturing Overhead | – 0 |
    | | – 0 |
    | Units | 1,000 |
    | Cost per unit | – 0 |

    ## Process Costing

    | | | | | | |
    | — | — | — | — | — | — |
    | <Name of Company Here> |
    | Production Cost Report |
    | Department: | <Select one department in your cookie making process> |
    | Cost: | Material | Labor | Overhead | Trans In | Total |
    | Beginning WIP |
    | Cost incurred |
    | Total |

    | Units: |
    | Units Completed |
    | Equivalent Units (ending WIP) |
    | Total |

    | Cost per Equivalent unit |

    ## Sheet3

    |
    |

    **UnitIIIStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitiiistudyguide-pdf-10351197)

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    Influence of Technology on HRM

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    1. **Application of Course Knowledge:** Answer all questions/criteria with explanations and detail. 1. Select a condition covered in this course that interests you or is relevant to your nursing practice. Identify the condition you’ve selected. 2. Briefly explain your rationale for selecting this p…

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    1. Select a condition covered in this course that interests you or is relevant to your nursing practice. Identify the condition you’ve selected.
    2. Briefly explain your rationale for selecting this particular condition. What influenced your selection?
    3. Investigate the prevalence and incidence of the chosen condition in the United States (U.S.). What are the incidence, prevalence, and affected populations?
    4. Find and summarize a scholarly article that discusses your selected condition. What does the article say about your condition and its pathophysiology and manifestations? How is the article relevant to your understanding of the condition?
    2. **Integration of Evidence:** Integrate relevant scholarly sources as defined by program expectations:
    1. Cite a scholarly source in the initial post.
    2. Cite a scholarly source in one faculty response post.
    3. Cite a scholarly source in one peer post.
    4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
    5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
    3. **Engagement in Meaningful Dialogue:** Engage peers and faculty by asking questions and offering new insights, applications, perspectives, information, or implications for practice.

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    – Find 2 to 3 research articles (must have methods section) related to the topic/problem in your scenario.
    – Provide a brief background of any research you have found that might affect your research hypothesis.
    – Create a research hypothesis.

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    how to develop a procedure to monitor single CC (complication or comorbidity) and MCC (major complication or comorbidity

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    quin see comments – ## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf – ## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf – cf_Exemplar_NURS-FPX4040_Assessment_31.pdf **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-…

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    see comments

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    **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf**

    1

    Assessment 03 – Evidence-Based Proposal and Annotated

    Bibliography on Technology in Nursing

    For this assessment, you will write a 4–6 page annotated bibliography where you identify peer-
    reviewed publications that promote the use of one of the technologies presented below that
    enhance quality and safety standards in nursing.

    Before you complete the detailed instructions in the courseroom, first review the technologies
    below and select the one you’re most interested in researching.

    After selecting one of the following technologies to be the focus of your assessment, return to
    the courseroom to review the detailed instructions there.

     Artificial Intelligence: AI in healthcare can analyze complex data sets, assist in
    diagnosis, predict patient deterioration, and even suggest treatment options. It's a rapidly
    evolving field with vast potential to revolutionize healthcare.

     Data Management Resources: These tools help in the collection, storage, and analysis
    of vast amounts of patient data. Proper data management can lead to better patient
    outcomes, more efficient operations, and significant research advancements.

     Workflow Management Systems: These systems streamline and automate routine
    tasks and operations in healthcare settings. They can improve efficiency, reduce errors,
    and enhance the overall quality of care.

    **## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    1

    Annotated Bibliography on Technology in Nursing

    Learner’s Name

    Capella University

    NURSFPX4040: Managing Health Information and Technology

    Instructor Name

    August 1, 2019

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    2

    Technology in Nursing

    Pulse oximetry is one of the most common methods of measuring the percentage of

    oxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in critical

    care settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted by

    anesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatal

    units (Hendaus, et al., 2015). This annotated bibliography provides insight into how pulse

    oximeters are used, their limitations and accuracy, and patient outcomes.

    Annotated Bibliography

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    This article discusses the use of pulse oximetry in pediatric wards. The authors state that

    hospitals in the United States admit a significant number of children every year with

    bronchiolitis and other respiratory problems. These problems are usually monitored with

    the help of a pulse oximeter, an instrument used to measure the saturation of oxygen in

    the blood. Oxygen saturation levels are used by health care providers to evaluate a

    patient’s respiratory status and are one of the deciding factors for a patient’s discharge.

    Pulse oximetry is frequently used in pediatrics (in pediatric intensive care units and

    pediatric wards) and in emergency departments. Pulse oximeters are used to monitor

    oxygen saturation during resuscitations, while estimating perfusion, while detecting

    pulsus paradoxus, and while screening infants for congenital heart disease. Though the

    source does not fully explain why the limitations occur, it identifies several cases in

    which pulse oximeters are likely to be inaccurate. Pulse oximeters have certain

    Commented [A1]: Comprehensive information regarding the

    types of pulse oximetry devices, selection criteria, decision makers,

    and associated costs is not available in the selected papers. The two

    types of pulse oximeters and their advantages over the others is

    provided; however, information on the various types of pulse

    oximeters is not available and the associated costs are not provided.

    This paper does mention that this technique is cost-effective which

    can fulfill the required criteria.

    [https://dx.doi.org/10.2147%2FTCRM.S93176](https://dx.doi.org/10.2147%2FTCRM.S93176)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    3

    limitations due to inadequate signals. Inadequate signals occur in cases of anemia, bright

    external light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximeters

    show low readings in cases of venous pulsations such as severe right heart failure,

    tricuspid regurgitation, and blood pressure cuffs or tourniquets above the site of the pulse

    oximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterial

    oxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociation

    curve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.

    The source highlights several limitations, which will help readers exercise caution when

    using pulse oximeters. However, despite these limitations, the use of pulse oximeters in

    pediatrics is recommended because they are handy and allow for noninvasive measuring

    of arterial oxygen saturation.

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    This article provides insight into the principles, accuracy, functioning, and outcome of

    pulse oximeters. It discusses the potential advantages of multiwavelength pulse oximeters

    over conventional pulse oximeters. Multiwavelength pulse oximeters are capable of

    estimating the blood levels of carboxyhemoglobin and methemoglobin, whereas

    conventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobin

    and methemoglobin are absent because they can only distinguish between hemoglobin

    and oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters for

    more accurate results. In hospital settings, the transfer rate from a postsurgical care floor

    to the intensive care unit (ICU) is an important factor that influences the use of pulse

    oximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A2]: Meets criterion 3 as it deals with

    organizational factors that influence the selection of a technology in

    health care setting.

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    4

    monitored by pulse oximeters either continuously (oximeter group) or intermittently

    based on clinical needs as judged by a physician or a nurse (control group). The rate of

    ICU transfers for pulmonary complications was lower in the oximeter group than in the

    control group. Additionally, for patients who did require ICU transfers, the estimated cost

    of treatment from enrollment to the completion of the study was lower for the oximeter

    group ($15,481) than for the control group ($18,713) despite the patients in the oximeter

    group being older and having higher comorbidity. The reduction in pulmonary transfers

    to the ICU in the oximeter group was speculated to be the result of early recognition and

    treatment of postoperative pulmonary complications. As cited in Jubran, another study by

    Moller et al. indicates that anesthesiologists considered pulse oximetry to be of immense

    value as it guides clinical management.

    oximeters because they believe that maintaining oxygenation within limits might help

    prevent irreversible injury. Pulse oximetry is, therefore, a key part of the standard

    protocol for monitoring critically ill patients.

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how

    and why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),

    F162–F167. http://doi.org/10.1136/archdischild-2015-309205

    This article describes how pulse oximetry is being implemented worldwide for the

    screening of critical congenital heart defects (CCHD). The use of pulse oximetry to

    screen for CCHD is highly recommended because it is effective, quick, simple, and cost-

    effective. The authors state that training parents and caregivers and using tools that are

    computer based can improve pulse oximetry screening. Pulse oximetry helps detect

    significant pathology and is reliable for keeping track of CCHD, which requires constant

    Anesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A5]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.
    And also fulfills: Describes organizational factors influencing

    the selection of a technology in the health care setting.

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    5

    diagnosis and immediate medical intervention. In almost every infant with CCHD,

    clinically undetectable hypoxemia is identified by pulse oximeters. Early studies of

    neonatal pulse oximetry screening for CCHD showed accurate details. As a result, the

    U.S. Secretary of Health and Human Services advised adding CCHD screening to the

    recommended uniform screening panel. According to a meta-analysis of 13 screening

    studies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of

    76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concluded

    that the universal screening criteria were met by pulse oximetry screening. Pulse

    oximetry screening shows no difference in accuracy when pre-ductal and post-ductal

    pulse oximetry measurements are performed. The authors also observed that pulse

    oximetry screening done 24 hours after birth increases the risk of late detection of CCHD

    in infants but decreases the false positive rate. Therefore, the use of pulse oximeters can

    be crucial for the early detection of CCHD and helps reduce mortality and improve

    postoperative outcomes.

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    This article offers comprehensive insight into how pulse oximetry works; particularly, it

    looks at the techniques involved in measurement, the limitations of using the techniques,

    and the accuracy that can be expected while determining oxygen saturation. Oxygen

    saturation (SaO2) is the measurement of the percentage of oxygen in hemoglobin. Pulse

    oximeters detect the significant decline of oxygen in the respiratory function of patients.

    Measurements of oxygen saturation in pulse oximeters (SpO2) are often inaccurate when

    Commented [A6]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    6

    critically ill patients receive supplemental oxygen. The difference between SpO2 and

    SaO2 determines the accuracy of a pulse oximeter. Though the outcome of pulse oximetry

    in measuring SaO2 in sick patients is 3–4 percent inaccurate, pulse oximeters quickly

    detect the abrupt drop of SpO2 in anesthetized patients and in patients in intensive care

    units. Despite the limitations of pulse oximetry, SpO2 values obtained from the pulse

    oximeter are considered reliable for the detection of deterioration in respiratory function.

    Further, pulse oximetry has the advantage of being a noninvasive technique to measure

    oxygen saturation. Studies suggest that pulse oximetry should not be the only method to

    monitor SaO2 in the neonatal intensive care unit because of infants’ vulnerability to

    retinopathy of prematurity, which is induced by the high partial pressure of oxygen in

    arterial blood. The authors conclude that technological advancements in pulse oximeters

    over the years have enabled them to diagnose and monitor patients better.

    Conclusion

    Despite their limitations, pulse oximeters are recommended for monitoring oxygen

    saturation levels in patients with respiratory problems. The use of pulse oximeters helps reduce

    the rate of pulmonary transfers of patients from a postsurgical floor to the ICU. They play a

    crucial role in screening infants for CCHD, and therefore, the use of pulse oximeters in pediatric

    wards is highly recommended. Pulse oximetry helps in the early detection of certain diseases,

    thereby preventing irreversible damage to organs and reducing the rate of mortality. Pulse

    oximeters are a cost-effective resource in hospitals. They can easily detect a significant decline

    of oxygen in the respiratory function of patients. The rate of transfers to the intensive care unit

    due to pulmonary complications was significantly lower in patients who were continuously

    monitored using pulse oximeters than in patients who were intermittently monitored using pulse

    Commented [A8]: Fulfills criteria 3: Describes organizational

    factors influencing the selection of a technology in the health

    care setting.

    Commented [A7]: Fulfills the criteria: Justifies the

    implementation and use of a selected technology in a health

    care setting. Provides an in-depth and well-researched

    analysis of the impact of the technology on quality care and

    patient safety.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    7

    oximeters. The readings obtained from pulse oximeters are reliable and help make immediate

    adjustments to a patient’s oxygen supply, which can help prevent irreversible damage or death.

    The limitations of conventional pulse oximeters are overcome by multiwavelength pulse

    oximeters, which can estimate the levels of carboxyhemoglobin and methemoglobin in blood.

    Medical practitioners in interdisciplinary teams, such as pediatricians, pulmonologists, and

    anesthesiologists, can collectively use the readings obtained from pulse oximetry to assess the

    condition of a patient before administering treatment. Hence, pulse oximetry is valuable in

    hospital settings, helping medical practitioners decide the correct course of treatment and provide

    immediate and effective care to patients.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    8

    References

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas, A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how and

    why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2), F162–

    F167. http://doi.org/10.1136/archdischild-2015-309205

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    [https://doi.org/10.2147%2FTCRM.S93176](https://doi.org/10.2147%2FTCRM.S93176)

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    – Annotated Bibliography
    – Conclusion

    **cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

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    **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf**

    1

    Assessment 03 – Evidence-Based Proposal and Annotated

    Bibliography on Technology in Nursing

    For this assessment, you will write a 4–6 page annotated bibliography where you identify peer-
    reviewed publications that promote the use of one of the technologies presented below that
    enhance quality and safety standards in nursing.

    Before you complete the detailed instructions in the courseroom, first review the technologies
    below and select the one you’re most interested in researching.

    After selecting one of the following technologies to be the focus of your assessment, return to
    the courseroom to review the detailed instructions there.

     Artificial Intelligence: AI in healthcare can analyze complex data sets, assist in
    diagnosis, predict patient deterioration, and even suggest treatment options. It's a rapidly
    evolving field with vast potential to revolutionize healthcare.

     Data Management Resources: These tools help in the collection, storage, and analysis
    of vast amounts of patient data. Proper data management can lead to better patient
    outcomes, more efficient operations, and significant research advancements.

     Workflow Management Systems: These systems streamline and automate routine
    tasks and operations in healthcare settings. They can improve efficiency, reduce errors,
    and enhance the overall quality of care.

    **## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    1

    Annotated Bibliography on Technology in Nursing

    Learner’s Name

    Capella University

    NURSFPX4040: Managing Health Information and Technology

    Instructor Name

    August 1, 2019

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    2

    Technology in Nursing

    Pulse oximetry is one of the most common methods of measuring the percentage of

    oxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in critical

    care settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted by

    anesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatal

    units (Hendaus, et al., 2015). This annotated bibliography provides insight into how pulse

    oximeters are used, their limitations and accuracy, and patient outcomes.

    Annotated Bibliography

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    This article discusses the use of pulse oximetry in pediatric wards. The authors state that

    hospitals in the United States admit a significant number of children every year with

    bronchiolitis and other respiratory problems. These problems are usually monitored with

    the help of a pulse oximeter, an instrument used to measure the saturation of oxygen in

    the blood. Oxygen saturation levels are used by health care providers to evaluate a

    patient’s respiratory status and are one of the deciding factors for a patient’s discharge.

    Pulse oximetry is frequently used in pediatrics (in pediatric intensive care units and

    pediatric wards) and in emergency departments. Pulse oximeters are used to monitor

    oxygen saturation during resuscitations, while estimating perfusion, while detecting

    pulsus paradoxus, and while screening infants for congenital heart disease. Though the

    source does not fully explain why the limitations occur, it identifies several cases in

    which pulse oximeters are likely to be inaccurate. Pulse oximeters have certain

    Commented [A1]: Comprehensive information regarding the

    types of pulse oximetry devices, selection criteria, decision makers,

    and associated costs is not available in the selected papers. The two

    types of pulse oximeters and their advantages over the others is

    provided; however, information on the various types of pulse

    oximeters is not available and the associated costs are not provided.

    This paper does mention that this technique is cost-effective which

    can fulfill the required criteria.

    [https://dx.doi.org/10.2147%2FTCRM.S93176](https://dx.doi.org/10.2147%2FTCRM.S93176)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    3

    limitations due to inadequate signals. Inadequate signals occur in cases of anemia, bright

    external light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximeters

    show low readings in cases of venous pulsations such as severe right heart failure,

    tricuspid regurgitation, and blood pressure cuffs or tourniquets above the site of the pulse

    oximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterial

    oxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociation

    curve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.

    The source highlights several limitations, which will help readers exercise caution when

    using pulse oximeters. However, despite these limitations, the use of pulse oximeters in

    pediatrics is recommended because they are handy and allow for noninvasive measuring

    of arterial oxygen saturation.

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    This article provides insight into the principles, accuracy, functioning, and outcome of

    pulse oximeters. It discusses the potential advantages of multiwavelength pulse oximeters

    over conventional pulse oximeters. Multiwavelength pulse oximeters are capable of

    estimating the blood levels of carboxyhemoglobin and methemoglobin, whereas

    conventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobin

    and methemoglobin are absent because they can only distinguish between hemoglobin

    and oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters for

    more accurate results. In hospital settings, the transfer rate from a postsurgical care floor

    to the intensive care unit (ICU) is an important factor that influences the use of pulse

    oximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A2]: Meets criterion 3 as it deals with

    organizational factors that influence the selection of a technology in

    health care setting.

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    4

    monitored by pulse oximeters either continuously (oximeter group) or intermittently

    based on clinical needs as judged by a physician or a nurse (control group). The rate of

    ICU transfers for pulmonary complications was lower in the oximeter group than in the

    control group. Additionally, for patients who did require ICU transfers, the estimated cost

    of treatment from enrollment to the completion of the study was lower for the oximeter

    group ($15,481) than for the control group ($18,713) despite the patients in the oximeter

    group being older and having higher comorbidity. The reduction in pulmonary transfers

    to the ICU in the oximeter group was speculated to be the result of early recognition and

    treatment of postoperative pulmonary complications. As cited in Jubran, another study by

    Moller et al. indicates that anesthesiologists considered pulse oximetry to be of immense

    value as it guides clinical management.

    oximeters because they believe that maintaining oxygenation within limits might help

    prevent irreversible injury. Pulse oximetry is, therefore, a key part of the standard

    protocol for monitoring critically ill patients.

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how

    and why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),

    F162–F167. http://doi.org/10.1136/archdischild-2015-309205

    This article describes how pulse oximetry is being implemented worldwide for the

    screening of critical congenital heart defects (CCHD). The use of pulse oximetry to

    screen for CCHD is highly recommended because it is effective, quick, simple, and cost-

    effective. The authors state that training parents and caregivers and using tools that are

    computer based can improve pulse oximetry screening. Pulse oximetry helps detect

    significant pathology and is reliable for keeping track of CCHD, which requires constant

    Anesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A5]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.
    And also fulfills: Describes organizational factors influencing

    the selection of a technology in the health care setting.

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    5

    diagnosis and immediate medical intervention. In almost every infant with CCHD,

    clinically undetectable hypoxemia is identified by pulse oximeters. Early studies of

    neonatal pulse oximetry screening for CCHD showed accurate details. As a result, the

    U.S. Secretary of Health and Human Services advised adding CCHD screening to the

    recommended uniform screening panel. According to a meta-analysis of 13 screening

    studies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of

    76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concluded

    that the universal screening criteria were met by pulse oximetry screening. Pulse

    oximetry screening shows no difference in accuracy when pre-ductal and post-ductal

    pulse oximetry measurements are performed. The authors also observed that pulse

    oximetry screening done 24 hours after birth increases the risk of late detection of CCHD

    in infants but decreases the false positive rate. Therefore, the use of pulse oximeters can

    be crucial for the early detection of CCHD and helps reduce mortality and improve

    postoperative outcomes.

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    This article offers comprehensive insight into how pulse oximetry works; particularly, it

    looks at the techniques involved in measurement, the limitations of using the techniques,

    and the accuracy that can be expected while determining oxygen saturation. Oxygen

    saturation (SaO2) is the measurement of the percentage of oxygen in hemoglobin. Pulse

    oximeters detect the significant decline of oxygen in the respiratory function of patients.

    Measurements of oxygen saturation in pulse oximeters (SpO2) are often inaccurate when

    Commented [A6]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    6

    critically ill patients receive supplemental oxygen. The difference between SpO2 and

    SaO2 determines the accuracy of a pulse oximeter. Though the outcome of pulse oximetry

    in measuring SaO2 in sick patients is 3–4 percent inaccurate, pulse oximeters quickly

    detect the abrupt drop of SpO2 in anesthetized patients and in patients in intensive care

    units. Despite the limitations of pulse oximetry, SpO2 values obtained from the pulse

    oximeter are considered reliable for the detection of deterioration in respiratory function.

    Further, pulse oximetry has the advantage of being a noninvasive technique to measure

    oxygen saturation. Studies suggest that pulse oximetry should not be the only method to

    monitor SaO2 in the neonatal intensive care unit because of infants’ vulnerability to

    retinopathy of prematurity, which is induced by the high partial pressure of oxygen in

    arterial blood. The authors conclude that technological advancements in pulse oximeters

    over the years have enabled them to diagnose and monitor patients better.

    Conclusion

    Despite their limitations, pulse oximeters are recommended for monitoring oxygen

    saturation levels in patients with respiratory problems. The use of pulse oximeters helps reduce

    the rate of pulmonary transfers of patients from a postsurgical floor to the ICU. They play a

    crucial role in screening infants for CCHD, and therefore, the use of pulse oximeters in pediatric

    wards is highly recommended. Pulse oximetry helps in the early detection of certain diseases,

    thereby preventing irreversible damage to organs and reducing the rate of mortality. Pulse

    oximeters are a cost-effective resource in hospitals. They can easily detect a significant decline

    of oxygen in the respiratory function of patients. The rate of transfers to the intensive care unit

    due to pulmonary complications was significantly lower in patients who were continuously

    monitored using pulse oximeters than in patients who were intermittently monitored using pulse

    Commented [A8]: Fulfills criteria 3: Describes organizational

    factors influencing the selection of a technology in the health

    care setting.

    Commented [A7]: Fulfills the criteria: Justifies the

    implementation and use of a selected technology in a health

    care setting. Provides an in-depth and well-researched

    analysis of the impact of the technology on quality care and

    patient safety.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    7

    oximeters. The readings obtained from pulse oximeters are reliable and help make immediate

    adjustments to a patient’s oxygen supply, which can help prevent irreversible damage or death.

    The limitations of conventional pulse oximeters are overcome by multiwavelength pulse

    oximeters, which can estimate the levels of carboxyhemoglobin and methemoglobin in blood.

    Medical practitioners in interdisciplinary teams, such as pediatricians, pulmonologists, and

    anesthesiologists, can collectively use the readings obtained from pulse oximetry to assess the

    condition of a patient before administering treatment. Hence, pulse oximetry is valuable in

    hospital settings, helping medical practitioners decide the correct course of treatment and provide

    immediate and effective care to patients.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    8

    References

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas, A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how and

    why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2), F162–

    F167. http://doi.org/10.1136/archdischild-2015-309205

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    [https://doi.org/10.2147%2FTCRM.S93176](https://doi.org/10.2147%2FTCRM.S93176)

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    – Annotated Bibliography
    – Conclusion

    **cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4040-assessment-31-pdf-10351175)

    **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf**

    1

    Assessment 03 – Evidence-Based Proposal and Annotated

    Bibliography on Technology in Nursing

    For this assessment, you will write a 4–6 page annotated bibliography where you identify peer-
    reviewed publications that promote the use of one of the technologies presented below that
    enhance quality and safety standards in nursing.

    Before you complete the detailed instructions in the courseroom, first review the technologies
    below and select the one you’re most interested in researching.

    After selecting one of the following technologies to be the focus of your assessment, return to
    the courseroom to review the detailed instructions there.

     Artificial Intelligence: AI in healthcare can analyze complex data sets, assist in
    diagnosis, predict patient deterioration, and even suggest treatment options. It's a rapidly
    evolving field with vast potential to revolutionize healthcare.

     Data Management Resources: These tools help in the collection, storage, and analysis
    of vast amounts of patient data. Proper data management can lead to better patient
    outcomes, more efficient operations, and significant research advancements.

     Workflow Management Systems: These systems streamline and automate routine
    tasks and operations in healthcare settings. They can improve efficiency, reduce errors,
    and enhance the overall quality of care.

    **## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    1

    Annotated Bibliography on Technology in Nursing

    Learner’s Name

    Capella University

    NURSFPX4040: Managing Health Information and Technology

    Instructor Name

    August 1, 2019

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    2

    Technology in Nursing

    Pulse oximetry is one of the most common methods of measuring the percentage of

    oxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in critical

    care settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted by

    anesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatal

    units (Hendaus, et al., 2015). This annotated bibliography provides insight into how pulse

    oximeters are used, their limitations and accuracy, and patient outcomes.

    Annotated Bibliography

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    This article discusses the use of pulse oximetry in pediatric wards. The authors state that

    hospitals in the United States admit a significant number of children every year with

    bronchiolitis and other respiratory problems. These problems are usually monitored with

    the help of a pulse oximeter, an instrument used to measure the saturation of oxygen in

    the blood. Oxygen saturation levels are used by health care providers to evaluate a

    patient’s respiratory status and are one of the deciding factors for a patient’s discharge.

    Pulse oximetry is frequently used in pediatrics (in pediatric intensive care units and

    pediatric wards) and in emergency departments. Pulse oximeters are used to monitor

    oxygen saturation during resuscitations, while estimating perfusion, while detecting

    pulsus paradoxus, and while screening infants for congenital heart disease. Though the

    source does not fully explain why the limitations occur, it identifies several cases in

    which pulse oximeters are likely to be inaccurate. Pulse oximeters have certain

    Commented [A1]: Comprehensive information regarding the

    types of pulse oximetry devices, selection criteria, decision makers,

    and associated costs is not available in the selected papers. The two

    types of pulse oximeters and their advantages over the others is

    provided; however, information on the various types of pulse

    oximeters is not available and the associated costs are not provided.

    This paper does mention that this technique is cost-effective which

    can fulfill the required criteria.

    [https://dx.doi.org/10.2147%2FTCRM.S93176](https://dx.doi.org/10.2147%2FTCRM.S93176)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    3

    limitations due to inadequate signals. Inadequate signals occur in cases of anemia, bright

    external light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximeters

    show low readings in cases of venous pulsations such as severe right heart failure,

    tricuspid regurgitation, and blood pressure cuffs or tourniquets above the site of the pulse

    oximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterial

    oxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociation

    curve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.

    The source highlights several limitations, which will help readers exercise caution when

    using pulse oximeters. However, despite these limitations, the use of pulse oximeters in

    pediatrics is recommended because they are handy and allow for noninvasive measuring

    of arterial oxygen saturation.

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    This article provides insight into the principles, accuracy, functioning, and outcome of

    pulse oximeters. It discusses the potential advantages of multiwavelength pulse oximeters

    over conventional pulse oximeters. Multiwavelength pulse oximeters are capable of

    estimating the blood levels of carboxyhemoglobin and methemoglobin, whereas

    conventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobin

    and methemoglobin are absent because they can only distinguish between hemoglobin

    and oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters for

    more accurate results. In hospital settings, the transfer rate from a postsurgical care floor

    to the intensive care unit (ICU) is an important factor that influences the use of pulse

    oximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A2]: Meets criterion 3 as it deals with

    organizational factors that influence the selection of a technology in

    health care setting.

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    4

    monitored by pulse oximeters either continuously (oximeter group) or intermittently

    based on clinical needs as judged by a physician or a nurse (control group). The rate of

    ICU transfers for pulmonary complications was lower in the oximeter group than in the

    control group. Additionally, for patients who did require ICU transfers, the estimated cost

    of treatment from enrollment to the completion of the study was lower for the oximeter

    group ($15,481) than for the control group ($18,713) despite the patients in the oximeter

    group being older and having higher comorbidity. The reduction in pulmonary transfers

    to the ICU in the oximeter group was speculated to be the result of early recognition and

    treatment of postoperative pulmonary complications. As cited in Jubran, another study by

    Moller et al. indicates that anesthesiologists considered pulse oximetry to be of immense

    value as it guides clinical management.

    oximeters because they believe that maintaining oxygenation within limits might help

    prevent irreversible injury. Pulse oximetry is, therefore, a key part of the standard

    protocol for monitoring critically ill patients.

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how

    and why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),

    F162–F167. http://doi.org/10.1136/archdischild-2015-309205

    This article describes how pulse oximetry is being implemented worldwide for the

    screening of critical congenital heart defects (CCHD). The use of pulse oximetry to

    screen for CCHD is highly recommended because it is effective, quick, simple, and cost-

    effective. The authors state that training parents and caregivers and using tools that are

    computer based can improve pulse oximetry screening. Pulse oximetry helps detect

    significant pathology and is reliable for keeping track of CCHD, which requires constant

    Anesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A5]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.
    And also fulfills: Describes organizational factors influencing

    the selection of a technology in the health care setting.

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    5

    diagnosis and immediate medical intervention. In almost every infant with CCHD,

    clinically undetectable hypoxemia is identified by pulse oximeters. Early studies of

    neonatal pulse oximetry screening for CCHD showed accurate details. As a result, the

    U.S. Secretary of Health and Human Services advised adding CCHD screening to the

    recommended uniform screening panel. According to a meta-analysis of 13 screening

    studies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of

    76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concluded

    that the universal screening criteria were met by pulse oximetry screening. Pulse

    oximetry screening shows no difference in accuracy when pre-ductal and post-ductal

    pulse oximetry measurements are performed. The authors also observed that pulse

    oximetry screening done 24 hours after birth increases the risk of late detection of CCHD

    in infants but decreases the false positive rate. Therefore, the use of pulse oximeters can

    be crucial for the early detection of CCHD and helps reduce mortality and improve

    postoperative outcomes.

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    This article offers comprehensive insight into how pulse oximetry works; particularly, it

    looks at the techniques involved in measurement, the limitations of using the techniques,

    and the accuracy that can be expected while determining oxygen saturation. Oxygen

    saturation (SaO2) is the measurement of the percentage of oxygen in hemoglobin. Pulse

    oximeters detect the significant decline of oxygen in the respiratory function of patients.

    Measurements of oxygen saturation in pulse oximeters (SpO2) are often inaccurate when

    Commented [A6]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    6

    critically ill patients receive supplemental oxygen. The difference between SpO2 and

    SaO2 determines the accuracy of a pulse oximeter. Though the outcome of pulse oximetry

    in measuring SaO2 in sick patients is 3–4 percent inaccurate, pulse oximeters quickly

    detect the abrupt drop of SpO2 in anesthetized patients and in patients in intensive care

    units. Despite the limitations of pulse oximetry, SpO2 values obtained from the pulse

    oximeter are considered reliable for the detection of deterioration in respiratory function.

    Further, pulse oximetry has the advantage of being a noninvasive technique to measure

    oxygen saturation. Studies suggest that pulse oximetry should not be the only method to

    monitor SaO2 in the neonatal intensive care unit because of infants’ vulnerability to

    retinopathy of prematurity, which is induced by the high partial pressure of oxygen in

    arterial blood. The authors conclude that technological advancements in pulse oximeters

    over the years have enabled them to diagnose and monitor patients better.

    Conclusion

    Despite their limitations, pulse oximeters are recommended for monitoring oxygen

    saturation levels in patients with respiratory problems. The use of pulse oximeters helps reduce

    the rate of pulmonary transfers of patients from a postsurgical floor to the ICU. They play a

    crucial role in screening infants for CCHD, and therefore, the use of pulse oximeters in pediatric

    wards is highly recommended. Pulse oximetry helps in the early detection of certain diseases,

    thereby preventing irreversible damage to organs and reducing the rate of mortality. Pulse

    oximeters are a cost-effective resource in hospitals. They can easily detect a significant decline

    of oxygen in the respiratory function of patients. The rate of transfers to the intensive care unit

    due to pulmonary complications was significantly lower in patients who were continuously

    monitored using pulse oximeters than in patients who were intermittently monitored using pulse

    Commented [A8]: Fulfills criteria 3: Describes organizational

    factors influencing the selection of a technology in the health

    care setting.

    Commented [A7]: Fulfills the criteria: Justifies the

    implementation and use of a selected technology in a health

    care setting. Provides an in-depth and well-researched

    analysis of the impact of the technology on quality care and

    patient safety.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    7

    oximeters. The readings obtained from pulse oximeters are reliable and help make immediate

    adjustments to a patient’s oxygen supply, which can help prevent irreversible damage or death.

    The limitations of conventional pulse oximeters are overcome by multiwavelength pulse

    oximeters, which can estimate the levels of carboxyhemoglobin and methemoglobin in blood.

    Medical practitioners in interdisciplinary teams, such as pediatricians, pulmonologists, and

    anesthesiologists, can collectively use the readings obtained from pulse oximetry to assess the

    condition of a patient before administering treatment. Hence, pulse oximetry is valuable in

    hospital settings, helping medical practitioners decide the correct course of treatment and provide

    immediate and effective care to patients.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    8

    References

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas, A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how and

    why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2), F162–

    F167. http://doi.org/10.1136/archdischild-2015-309205

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    [https://doi.org/10.2147%2FTCRM.S93176](https://doi.org/10.2147%2FTCRM.S93176)

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    – Annotated Bibliography
    – Conclusion

    **cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4040-assessment-31-pdf-10351175)

    – 1
    – 2
    – 3

  • [Solved] Collaboration 584 week 3

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    Assignment Prompt & Instructions

    Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.
    **Include the following sections**:
    1. **Application of Course Knowledge**: Answer all questions/criteria with explanations and detail.
    – Do you recommend criminalizing healthcare errors as an effective approach to holding healthcare providers accountable for their mistakes? Why or why not?
    – How can healthcare providers balance the goal of high-quality care with the potential risks and consequences of errors?
    – Are current legal and regulatory frameworks adequate to address healthcare errors? If so, why? If not, what changes are necessary to ensure the regulations best serve clients and providers?
    2. **Professionalism in Communication**: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
    ****Include AI and Similarity report ****
    ****Use scholarly sources from last 5 years.