C489 task 2.docx C489 C489 Organizational Systems and Quality Leadership SAT Task 2 We

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C489 task 2.docx C489 C489 Organizational Systems and Quality Leadership SAT Task 2 Western Governors University Organizational Systems and Quality Leadership SAT Task 2 A. Root Cause Analysis ... Accidents in health care often do not stem from one single factor, often it is affected by multiple contributing factors, and to find the systemic cause of the error, one can use Root Cause Analysis (RCA). RCA systematically assesses the causes of adverse events and identifies any errors that can be corrected so it doesn't happen again. Generally there is a team of four to six people from mixed discipline set up to do this. A1. RCA Steps: There are six steps in the process of RCA 1. Identify what happened The first step is to identify where an error happened and describe it accurately. All pertinent information about the event is gathered and organized in the order it took place 2. Determine what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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