Nursing Root Cause Analysis
Follow Task instructions: please review enclosed scenario and have detailed explanations for topics (A- C4) . Joint Commission is a useful website. Reference and title page must be included however an Abstract isnt necessary. Paper must be a minimum of 10 double spaced pages not including reference. 4 pages total
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7 ask # .9-
Competencies: 734.3.1: Principles of Leadership The graduate applies
principles of leadership to promote high-quality healthcare in a variety of settings
through the application of sound leadership principles.
734.3.2: Interdisciplinary Collaboration The graduate applies theoretical
principles necessary for effective participation in an interdisciplinary team.
734.3.3: Quality and Patient Safety The graduate applies quality improvement
processes intended to achieve optimal healthcare outcomes contributing to and
supporting a culture of safety.
734.3.4: Healthcare Utilization and Finance The graduate analyzes financial
implications related to healthcare delivery reimbursement access and national
initiatives
Introduction:
Healthcare organizations accredited by the Joint Commission are
required to conduct a root cause analysis (RCA) in response to any
sentinel event such as the one described below. Once the cause is
identified and a plan of action established it is useful to conduct a
failure mode and effects analysis (FMEA) to reduce the likelihood that
a process would fail. As a member of the healthcare team in the
hospital described in this scenario you have been selected as a
member of the team investigating the incident.
Scenario:
Scenario:
It is 3:30 pm. on a Thursday and Mr. B a 67-year-old patient arrives at the six-
room emergency department (ED) of a sixty-bed rural hospital. He has been brought
to the hospital by his son and neighbor. At this time Mr. B is moaning and
complaining of severe pain to his (L) leg and hip area. He states he lost his balance
and fell after tripping over his dog.