D1 Root Cause Analysis
Organizational Systems and Quality Leadership Task 2
Western Governors University
03/15/2015
Root cause analysis (RCA) is one of the organized techniques that can be used as an analyzer in any events of adverse events. In health care settings the best method to track down an adverse event and find out the root cause of the problem, would increase the overall patient well-being outcome. The best approach to an adverse event would be to set up questions systematically from the point of start till the end of the given service in order to detect the safety risk factors.
In the given scenario, root cause analysis technique will be used to detect the errors that happened during the emergency department admission …show more content…
There must be an implemented of the safe medication administration by a double checking of the high risk medication to prevent any over dose administration of medications to the patient. It should be standard policy enforcement regulation in the matter of the proper stocking of the rooms with the functional equipment such as: oxygen, suction, gloves, masks, etc by the staff to ensure the safe and prepared environment in the case of emergency in the Emergency Department. It would be necessary to constantly evaluate the system to ensure that there are no kinks, and if there is any so the necessary changes can be made. Implementation of the intervention will generate a system which is more unified and it is based upon the effective and proper training and communication among the staff to practice in their duty in order to maintain the highest safety in care of the …show more content…
In the FMEA pre-steps the team must be identified and the team members should list the failures which can occur in the system. The team must anticipate the effect and recognize by prioritizing the interventions in the areas with the greatest concern those with the one of the most significant effect. After prioritizing the failures in the system, the team must address the failures which have the greatest concern. Prior to the quality effort improvement, the data is evaluated regarding the medication administration during the conscious sedation procedure in order to be able to compare the before and after result. The evaluated data should include both positive and negative sides of the process and also the outcome of the process before and after the quality effort improvement process.
C3. Three Steps
FMEA is a process that has three steps “Each failure mode has a potential effect and each potential effect has a relative risk associated with it. The relative risk of failure and its effects is determined by three factors: severity, occurrence, and detection” (ICMA, 2014). Each factor in three steps of FMEA is rated on a scale of one to ten numbers, with the number ten being the most significant. Severity is a factor which is the consequences of the each failure mode that happens. For instance, never events, and patient harm, that would result from each failure mode if it did in fact take
Western Governors University
03/15/2015
Root cause analysis (RCA) is one of the organized techniques that can be used as an analyzer in any events of adverse events. In health care settings the best method to track down an adverse event and find out the root cause of the problem, would increase the overall patient well-being outcome. The best approach to an adverse event would be to set up questions systematically from the point of start till the end of the given service in order to detect the safety risk factors.
In the given scenario, root cause analysis technique will be used to detect the errors that happened during the emergency department admission …show more content…
There must be an implemented of the safe medication administration by a double checking of the high risk medication to prevent any over dose administration of medications to the patient. It should be standard policy enforcement regulation in the matter of the proper stocking of the rooms with the functional equipment such as: oxygen, suction, gloves, masks, etc by the staff to ensure the safe and prepared environment in the case of emergency in the Emergency Department. It would be necessary to constantly evaluate the system to ensure that there are no kinks, and if there is any so the necessary changes can be made. Implementation of the intervention will generate a system which is more unified and it is based upon the effective and proper training and communication among the staff to practice in their duty in order to maintain the highest safety in care of the …show more content…
In the FMEA pre-steps the team must be identified and the team members should list the failures which can occur in the system. The team must anticipate the effect and recognize by prioritizing the interventions in the areas with the greatest concern those with the one of the most significant effect. After prioritizing the failures in the system, the team must address the failures which have the greatest concern. Prior to the quality effort improvement, the data is evaluated regarding the medication administration during the conscious sedation procedure in order to be able to compare the before and after result. The evaluated data should include both positive and negative sides of the process and also the outcome of the process before and after the quality effort improvement process.
C3. Three Steps
FMEA is a process that has three steps “Each failure mode has a potential effect and each potential effect has a relative risk associated with it. The relative risk of failure and its effects is determined by three factors: severity, occurrence, and detection” (ICMA, 2014). Each factor in three steps of FMEA is rated on a scale of one to ten numbers, with the number ten being the most significant. Severity is a factor which is the consequences of the each failure mode that happens. For instance, never events, and patient harm, that would result from each failure mode if it did in fact take