Root Cause Analysis Case Study: DHA 715 WEEK 2
Root Cause Analysis (RCA) of Case Study – Download the Framework for Conducting a Root Cause Analysis and Action Plan Template.
Read the University of Phoenix Material Root Cause Analysis Case Study.
Complete the template utilizing the information described in the case study.
- Fill in all relevant sections of template. If there are segments of the template that do not require a reply, be certain to include N/A (i.e., not applicable).
- Provide a rigorous and complete analysis of the case study.
- Clearly state your proposed Plan of Action for each representative section of the template.
Include at least five scholarly references to support the information in your template.
Format your Root Cause Analysis (RCA) of Case Study Assignment work according to APA guidelines.
Submit your Root Cause Analysis (RCA) of Case Study assignment to the Assignment Files tab.
Root Cause Analysis Case Study: DHA 715 WEEK 2
DHA 715 WEEK 7 Integrating Ethics and Leadership
Scenario: Peer Customer Assessment (PCA) rounds have received national recognition as a best practice. PCA rounds are conducted six times a month by the health care organization’s leadership to establish face-to-face connections with staff and patients. PCA participants visit two units to discuss the patient experience and resolve any issues that the patient has encountered during his or her care. PCA rounds provide leadership with an opportunity to check in with staff throughout the organization and observe as they practice patient-centered care. Benefits of PCA rounds include opportunities for leadership to listen to patients and staff assist in solving problems, and improve systems.
Due to an expanded leadership group, PCA sessions have become too large to be effective. Leadership seeks recommendations on alternate activities to fulfill PCA objectives.
Write a 350- to 700-word executive summary in which you recommend three appropriate alternative activities to fulfill PCA objectives.
Explain your rationale for each of the three recommendations.
Include at least three scholarly references to support your recommendations.
Format your work according to APA guidelines.
Submit your assignment to the Assignment Files tab.
NURS 8300 Week 9 Discussion: Root Cause Analysis
Note: Weeks 8 and 9 are linked together in an assignment that is completed within your group. Each group will receive the same grade for the final powerpoint submission at the end of Week 9. Each individual will receive a unique grade in Weeks 8 and 9 which is based on your individual contribution to the small group discussion boards as well as your participation in the final Week 9 discussion as well as the slides that you contribute to the powerpoint
Root cause analysis (RCA) is a standard tool used to help health care organizations learn from errors, particularly those that result in harm. RCA is applied to address three key questions about a particular situation:
- What happened?
- Why did it happen?
- What can be done to prevent it from happening again?
To prepare for and complete this Discussion:
As a case study team, prepare a 10 slide power-point using tools provided in this case study to present your rationale and validation of the root causes your team has chosen. Be sure to include at least 4 peer reviewed research studies which evoke validation of the latest patient safety evidence in support of your root cause findings. Also address the extent to which this scenario evokes implication for value based purchasing. Root Cause Analysis Case Study: DHA 715 WEEK 2
To prepare for Week 9:
Continue your small group dialogue in dissecting the case study.
By Day 3
A designated team member will post the team powerpoint and key insights that your team has gained about your choices, this type of sentinel event, and use of root cause analysis in Week 9 discussion board.
By Day 7
Each student will respond to at least two other group PowerPoints and analysis.
Research a case associated with risk management in which the case scenario includes both the legal and financial ramification The case could have occurred in your organization or be found in a literature review.
Analyze the case scenario.
Write a 700-to 1,050-word summary that focuses on the legal and financial implications/consequences of the case.
Include the following in your summary:
- A description of the situation
- The key aspects relating to risk management
- The legal issues associated with the case
- The financial issues associated with the outcomes of the case
- An explanation of the financial implications and their effect on the organization
- An overview on how costs associated with the outcome of the case were financed by the organization
In addition, write a 350 – 700 word executive summary in which you answer the following questions:
- What would you do if you were in charge of the issue?
- What could the organization have done to avoid the event?
- What risk financing techniques could have been helpful in avoiding this event?
- What may the organization do to prevent the occurrence from happening again?
Format your summaries consistent with APA guidelines
Click the Assignment Files tab to submit your assignment.