This assignment is for HCA375 - Continuous Quality Monitoring and Accreditation course, focusing on adverse event monitoring and quality improvement. The student is tasked with detailing an adverse event, providing historical background, legal and accrediting agency requirements, CQI team communication operational or safety processes, and the impact of this event. Additionally, they are required to graph data in Excel, analyze the frequency of the event compared to patient discharges, and discuss possible factors attributed to the change. The assignment also includes applying PDSA (Plan-Do-Study-Act) worksheet for future prevention.