NURS-4220K Week 4: Discussion Root Cause Analysis

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Course

NURS-4220K Leadership Competencies-Summer

Preparing the Discussion

After reviewing the case scenario and associated quality improvement tools (process flow chart, cause/effect diagram, Pareto chart), address the following:

By Day 3, post:

  1. Analyze the composition of the Root Cause Analysis (RCA) team. What knowledge does each member contribute?

  2. Describe the collaboration that led to effective problem solving. What evidence shows avoidance of blame?

  3. Explain the team’s process in testing and eliminating non-contributing root causes.

  4. Select one performance improvement chart and critique its effectiveness in identifying the root cause and preventing repeat medication errors.

  5. Identify contributing factors and discuss strategies to prevent recurrence.

By Day 7:

  • Respond to at least two colleagues.

  • Engage on different charts, collaboration observations, or contributing factors.

  • Offer clarification, support, or alternative viewpoints.

  • Post on three separate days.

Sample Solution

The RCA team is made up of the risk manager, a registered nurse, and a pharmacy technician. A root cause analysis is “a structured process for identifying the underlying factors that caused an adverse event” (Spath, 2018, p. 209). The risk manager is important because they manage what can compromise a patient’s safety.…..Click below to access the full sample solution (PDF)