c489task2.edited__1_.docx C489 Organizational Systems and Quality Leadership Western Go

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c489task2.edited__1_.docx C489 Organizational Systems and Quality Leadership Western Governors university Organizational Systems and Quality Leadership A. General Purpose A Root Cause Analysis (... RCA) is an efficient approach to understanding the causes of an adverse event and recognizing system faults to prevent errors from occurring again. The RCA focuses on system causes rather than blaming the nurse (Institute for Healthcare Improvement, n.d.). A1. RCA Steps There are six stages to an RCA. The RCA team comprises four to six individuals from a blend of various experts. In the first step, the group needs to distinguish what occurred. The group should attempt to portray what happened precisely and totally. To put together and additionally explain data about the occasion, some groups make a flowchart. This primary device permits you to draw an image of what occurred in the order it happened. In the second step, the group needs to figure out what would have happened in ideal conditions. It would be great to make a flow chart dependent on this data and correlate the data from the first step. The third step is to determine the cause and ask why five times. The team decides the reason that leads to the event. Step four is to develop causal statements to figure out how aiding factors lead to poor outcomes for patients and staff. The report has three parts: the cause, effect, and the event. In step five, the team creates a list of recommendations that will hopefully prevent the error from happening ag. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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