C489 Task 2 (completed).docx - REQUIREMENTS Your submission must be your original work No more than a combined total of 30 of the submission and no more

C489 Task 2 (completed).docx - REQUIREMENTS Your submission...

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REQUIREMENTSYour 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. An originality report is provided when you submit your task that can be used as a guide.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 portionsof the course.A.Explain the general purpose of conducting a root cause analysis (RCA).Before explain the general purpose of conducting a root cause analysis, we need to know what a root cause analysis is. A root cause analysis is a method of solving a problem that is used to identify the root causes of problems, events, issues, outcomes, or faults. When looking at healthcare an RCA is usually done retrospectively to study an event where a patient or patients are harmed or an unexpected/undesired outcome has occurred. The general purpose for conducting a root cause analysis is to figure out why the event occurred, serves as an input process for remediation, and setting up corrective actions to prevent the event from occurring again. It is also a way to improve patient safety and prevent future harm to patients. There is one reason an RCA is not appropriate and that is in cases of negligence or willful harm.1.Explain each of the six steps used to conduct an RCA, as defined by IHI.i)Identify what happenedThe first step is a team must try to describe and explain what happened as accurately and completely as possible. A team usually consists of people at all levels within the organization who know the issues and processes the are involved with the incident that the RCA is being completed on. Usually the team consists of four to six members and some teams even include the patients that were involved or the family members of patients involved. During this step the RCA team members may use flowcharts to organize and draw a clearer picture of what happened and the information they have received. ii)Determine what should have happenedThe next step for the team is to figure out what could have happened if the conditions were ideal. At this step another flowchart with the new information should be made and compared to the flowchart from step 1.iii) Determine the causes (ask “why” five times)At this step, the team looks at the factors that contributed to the problem or event. During this step the group will look at two types of causes and they are contributory factors, which are indirect causes, and direct causes, which are the most apparent.
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