Question: Hello, this is where we are, Can you please help me with my part. Thank you everyone has agreed on the sentinel activityThe wrong patient.This
Hello, this is where we are, Can you please help me with my part. Thank you
everyone has agreed on the sentinel activity"The wrong patient".This seemsto be quite an interesting case.I will organize the discussion so that we can gain asknowledge as possible and enjoy the process.
Root Cause Analysis (RCA) is a quality-improvement tool that is frequently used to improve the quality of health care and patient safety. Identifying the error or risk to patient safety that needs to be addressed is the first step in performing an RCA. It should include the following steps:
- Decide if an RCA is needed for the incident
- Form an RCA team
- Data Collection
- Data Analysis
- Development of an Action Plan
- Reviewofoutcomemeasures
Team,
After examining the "Appendix: Root Cause Analysis Tool," presented on pages 182186 of Foundations in Patient Safety for Health Professionals, and focusing on the selected articleThe Wrong Patient, I propose the following distribution for discussion:
Week 4
Everyone:What Happened? What are the details of the event (brief description)? When did the event occur? What area/service was impacted?
Carla Devould: Why did it happen? Who should participate in this analysis and their roles?
The Wrong Patient http://annals.org/article.aspx?articleid=715318
Week 5
Everyone:Action Plan by Day 3
Vonetta George: Filling out the RCA tool by Day 4
Everyone:Review of the RCA tool by Day 5 and submit suggestions and comments by Day 6.
Please let me know if anyone has any suggestions or comments, and if I left out any aspect of the assignment.
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