1. Determine whether any adverse event or near-miss data needs to be factored in to outcomes and recommendations.
    • Examine the nursing process for variations or performance failures that could lead to an adverse event or near miss.
    • Identify trends, measures, and information needed to critically analyze specific outcomes.
    • Specify desired outcomes related to prevention of adverse events and near misses.
    • Analyze which metrics indicate future quality improvement opportunities.

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