Share your causal statement on the IHI Open School discussion board Course PS

Share your causal statement on the ihi open school

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Share your causal statement on the IHI Open School discussion board Course: PS 201: Root Cause and Systems Analysis Page 18 of 19 Conclusion An RCA requires a team of people to work together to understand what happened, why it happened, and what steps could be taken to prevent an adverse event from occurring in the future. Using an established framework such as Charles Vincent’s can help your team maintain a broad, system-oriented view during this process. Further, tools such as flowcharts, fishbone diagrams, and writing specific causal statements can all contribute to a helpful RCA. Next, we will look at how RCAs can be used to improve patient safety and the overall quality of care. We will also discuss some of the limitations of the RCA method. Hold on to the causal statement you just developed – you’ll need it in Lesson 3! Lesson 2: How a Root Cause Analysis Works Course: PS 201: Root Cause and Systems Analysis Page 19 of 19 Post-Lesson Assessment Assessment Review Status Question
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Status Question 1) Quinn is a three-year-old boy with a congenital heart malformation. While recovering in the pediatric intensive care unit after surgical correction, he is accidentally given a tenfold dose of heparin. Although he suffers no permanent injuries, the leadership of the hospital rightly decides to conduct a root cause analysis. As they assemble the team, it is crucial that they do the following: Your Answer: c) Create a team of members who fulfill several roles. Correct Answer: c) Create a team of members who fulfill several roles. Root cause analysis teams need to be diverse in order to be able to see as many viewpoints as possible. While patients and families, as well as the providers involved, may be included in the teams, there is by no means consensus about whether to include these individuals. Interprofessional teams are strongly encouraged, but there is no hard-and-fast prescription for which professions should be included or what the balance of the professions should be. Ideally, the team will include people with a strong understanding of the areas and processes involved in the case. 2) What else should the leadership do as they plan for the RCA?
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  • Fall '18
  • Causality, Margaret, RCA, RCAs

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