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 in the scenario attached 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.
You can find the scenario attached below in the attachment section.
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A.Explain the general purpose of conducting a root cause analysis (RCA).
1.Explaineachof thesixsteps used to conduct an RCA, as defined by IHI.
2.Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.
FMEA Table Steps in the Improvement Plan Process *Failure ModeLikelihood of Occurrence(1–10)Likelihood of Detection(1–10)Severity (1–10)Risk Priority Number (RPN)EXAMPLE: Doctor orders medication for pain prior to invasive procedure. Wrong medication selected3557126.96.36.199.Total RPN (sum of all RPN’s): *do not include more than four steps in the improvement plan processCreated with an evaluation copy of Aspose.Words. To discover the full versions of our APIs please visit: https://products.aspose.com/words/ PAGE PAGE * MERGEFORMAT 1