ROOT CAUSE ANALYSIS
Review the case scenario included in this week’s media resources, and examine the process flow chart, cause/effect diagram, and Pareto chart related to the case scenario.
In the scenario, the nurse manager and the director of pharmacy blame each other for the error. The facilitator (quality assurance person) asks everyone to avoid blaming and focus on applying the tools to analyze the data and get to the root cause of the error. While all of these tools contribute, for this Discussion, select one tool to analyze.
Post each of the following:
· Analyze the composition of the RCA team. Explain what knowledge they can contribute to the RCA.
· Describe the collaboration in the case study that led to effective problem solving. Identify the evidence you observe in the scenario that demonstrates effective collaboration and the avoidance of blaming.
· Explain the team’s process in testing for and eliminating root causes that were not contributing.
· Select one of the performance improvement charts presented in the scenario and critique its effectiveness by explaining how it contributes to identifying the root cause and determining a solution to prevent repeat medication errors.
· Identify the contributing factors and discuss how to prevent this kind of error from occurring in the future.
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level.
Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use
evidence Links to an external site.
from the readings and include
in-text citations Links to an external site.
. Utilize
essay-level Links to an external site.
writing practice and skills, including the use of
transitional material Links to an external site.
and
organizational frames Links to an external site.
. Avoid quotes;
paraphrase Links to an external site.
to incorporate evidence into your own writing. A
reference list Links to an external site.
is required. Use the most
current evidence Links to an external site.
(usually ≤ 5 years old).
Order an Essay Now & Get These Features For Free:
Turnitin Report
Formatting
Title Page
Citation
Outline
