DUE TOMORROW: TUESDAY, JULY, 22… REY I KNOW YOU CAN DO IT!!! SEND ME AN HANDSHAKE ASAP… Thanks! Hope all is well!! BElow is the assignment….
Root Cause Analysis, Part I:
Root cause analysis (RCA) is a standard tool used to help health care organizations learn from errors, particularly those that result in harm. RCA is applied to address three key questions about a particular situation.
•Why did it happen?
•What can be done to prevent it from happening again?
To prepare for and complete this Discussion:
•Examine the “Appendix: Root Cause Analysis Tool,” presented on pages 182–186 of Foundations in Patient Safety for Health Professionals. This tool will serve as a foundation for the Discussion. If you were conducting a Root Cause Analysis in a health care organization with the actual individuals involved, you would be able to use this tool more fully. For this assignment, you will use this tool as a jumping off point for discussion and analysis.
• Select a specific type of sentinel event/scenario to focus on for this Discussion. You may choose one from the Joint Commission’s Web site (http://www.jointcommission.org/sentinel_event.aspx), select a case from one of the textbooks, or use an outside source.
•Discuss each element of the Root Cause Analysis Tool in relation to your selected scenario. The following questions should be answered along as important information that should be discussed in your Discussion. (MAKE SURE THRE QUESTIONS ARE BOLD AND YOU PUT THE ANSWERS UNDER THR BOLD QUESTIONS).
?What information from your selected scenario would help you to “fill in” each row or column of the Root Cause Analysis Tool? Identify as much information as you can for each row/column of the tool. For instance, what indicators from the scenario you have chosen should be included in response to “What are the details of the event (brief description)?”
?If certain information is not provided in your selected scenario, how would you, as a team, proceed to gather data?
?Who should participate in this analysis? Which roles or which specific individuals should be invited to participate?
?What questions or considerations (beyond what is included in the tool) would help to guide your investigation?