Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

6 steps of root cause analysis ihi

19/03/2021 Client: saad24vbs Deadline: 2 Day

Western Governors University

Explain the general purpose of conducting a root cause analysis (RCA).

A root cause analysis (RCA) is a process for classifying the cause of a problem, and then a good way to approach and respond to the problem. The goal is to examine what happened, how the issue happened, and why it happened so that actions can be put into place to prevent a reoccurrence from happening (Institute for Healthcare Improvement).

Explain each of the six steps used to conduct an RCA, as defined by IHI.

Most often and RCA team involves four to six individuals from a mix of different professions. Each person should have fundamental knowledge of the problems and procedure involved in the accident. There is a total of six steps. The first step is to identify what happened. The team needs to explain what happened by organizing the information to clarify exactly what took place. The second step is to determine what should have happened. The team can create a chart to better understand what should have happened in an ideal situation. Number three is to determine causes (“Ask why five times”). This is how the team determines the factors that lead to the event. They look at the direct causes and the contributory factors as to why the incident happened. The fourth step is to develop causal statements. This is how they explain how the contributory factors lead to the bad outcomes. Step number five is to generate a list of recommended steps to prevent the recurrence of the event, which are changes that the team thinks will aid in preventing the error from happening again. The final sixth step is, write a summary and share it. This can help to engage people to aid in the steps of improvement (Institute for Healthcare Improvement).

Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.

The first step is to identify what happened: Mr. B is a 67-year-old male who is 175lbs with a past medical history of, chronic back pain which he was taking oxycodone for, impaired glucose tolerance, prostate cancer, high cholesterol, and high triglycerides. He was brought to the Emergency department (ED) by his son and neighbor complaining of pain in the left leg and left hip. He states he lost balance and tripped over the dog causing him to fall. When he had arrived at the ED, his blood pressure, heart rate and temp were all within normal limits, and his respirations were noted to be elevated at 32 which could be from the severe pain he was experiencing, which he rated 10/10. He was noted to have shortening of the left leg, edema, ecchymosis, and limited range of motion. There were two nurses (an LPN and an RN), an ER doctor, one secretary, and hospital respiratory therapist on staff at this rural hospital. Mr. B was the third patient in the ER at the time of arrival. The doctor evaluated Mr. B and ordered the RN to give 5mg of diazepam IV push, when that did not have an effect after 5 minutes the doctor then ordered the RN to give Hydromorphone 2mg IV push which was given 10 minutes later. The doctor was still not happy with the results after 5 minutes so, he then ordered to give another 2mg of Hydromorphone and an additional 5mg of diazepam both IV push. The sedation goal of the doctor was finally achieved, and he performed a reduction of the left hip. The patient had tolerated the procedure and he was still sedated, without any supplemental oxygen placed. The ED was then notified of a patient on the way in for acute respiratory distress, so the nurse put the patient on an automatic blood pressure and pulse oximeter reading every 5 minutes and she left the room leaving the son to sit with the patient. Five minutes after the procedure had ended the patients blood pressure had decreased to 110/62 and his oxygen saturation decreased to 92%, remaining without supplemental oxygen, and without ECG and respiration monitoring. While the RN and LPN were occupied with the new arrival, Mr. B’s oxygen monitor was alarming to indicate his oxygen had dropped to 85%. Then Mr. B’s son came out to alarm the nurse that the monitor was ringing again, she finally entered the room to find his blood pressure at 58/30 and oxygen level at 79%, Mr. B had no signs of breathing and there was no palpable pulse. The nurse called a STAT code and resuscitative efforts were started, he was intubated, defibrillated, given reversal agents, given IV fluids, and given vasopressors. This lasted 30 minutes, the ECG returned to normal sinus rhythm, blood pressure was 110/70. Mr. B was fully dependent on the ventilator, his pupils were fixed and dilated, and he was not responding to stimuli. Mr. B was then transferred to a different hospital for care upon the families wishes. Seven days after this ER visit, Mr. B was given a “brain dead” diagnosis, the family decided to remove life support and Mr. B had passed away.

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

ECFX Market
George M.
Finance Professor
Pro Writer
Top Academic Guru
WRITING LAND
Writer Writer Name Offer Chat
ECFX Market

ONLINE

ECFX Market

I have read and understood all your initial requirements, and I am very professional in this task.

$52 Chat With Writer
George M.

ONLINE

George M.

You can award me any time as I am ready to start your project curiously. Waiting for your positive response. Thank you!

$24 Chat With Writer
Finance Professor

ONLINE

Finance Professor

I have read your project details. I can do this within your deadline.

$40 Chat With Writer
Pro Writer

ONLINE

Pro Writer

I am known as Unrivaled Quality, Written to Standard, providing Plagiarism-free woork, and Always on Time

$47 Chat With Writer
Top Academic Guru

ONLINE

Top Academic Guru

Hello, I an ranked top 10 freelancers in academic and contents writing. I can write and updated your personal statement with great quality and free of plagiarism

$22 Chat With Writer
WRITING LAND

ONLINE

WRITING LAND

I am known as Unrivaled Quality, Written to Standard, providing Plagiarism-free woork, and Always on Time

$19 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

4.1 Reading Reflection - Ingham family meet and greet kent - Client Staffing Optimization - Vince johnson and the plantation allstars cd - Colonial first state super - Political Science Question set: Collective Action, the American Constitution, and Federalism - Https www icloud login com unsupported_mobile - 4am radio station mareeba - Bunsen burner temperature range - How sdn and ibn are related - How much does a pound of almonds cost - Tv antenna tower collapse case study - Adventure consultants rob hall - +91-8890675453 love marriage problem solution IN Sonipat - IA week3 DB - S discussion (course reflection) - Vintage fun reproduces old fashioned style roller skates and skateboards - MATH300 - Diseases of tomato ppt - 1.1 10 practice complete your assignment english 12 sem 1 - The wizard of oz symbolism list - How has the proliferation of mobile devices affect it professionals - Cultural Diversity - Limitations of leadership in criminal justice organizations - Essay - What about artistic expression is universal throughout human cultures - University rhode island change assessment scale - Spacegass - Ccb ppc 9690 deereco rd - Authorised smartrider retail outlet - CIS web design part 4 - IT - Physical Security Control - EmergingThreats - NEED IN 15 HOURS or LESS - Audit procedures for property plant and equipment - Ministry of road transport and highways sarathi - Conquest auto parts collier row - St jerome's indian residential school - Socw 6456 assignment - Situational thinking - Is cathkin high school open today - What is the difference between mbsa and microsoft update - I don t wanna lose you jamestown story chords - Credit by assessment rasmussen - Hesta super binding nomination form - Nursing care plan book online free - Biological aging theories - Prepare chiara company's balance sheet as of december 31 - Orange oblong pill 153 half moon - Airline seats reservation java program - Write 83 1 3 as a fraction - Hope by lisel mueller analysis - P4 4 multiple and single step income retained earnings - Please see the attachment (Application security) - Theory marketing partners - D2 - Essay - Valve timing diagram for 4 stroke petrol engine - Two models used for multigenerational family health histories - Business report title page - Land of enchantment book award - 5910_ASS 6 # REwork - Housing in pompeii and herculaneum - Thesis correction - Part III - Cat 950m wheel loader - Bsbwor502 assessment 1 - Mapping-Web - Lifemax 60 air hockey table - The last mountain movie questions answers - Strategyzer business model canvas pdf - En una tarde nosotros (entrevistar) a todos los aspirantes. - Mortgage loan data table xlsx - Literature Evaluation Table - An investment offers 6100 per year for 15 years - With the recent explosion of information technologies - A passageway connecting neighboring osteocytes in an osteon is a - Provide a comprehensive explanation of the essential concepts of SCM and explain to what extent SCM is applicable to a service operation - Machine Language - Https cdncache a akamaihd net - Farah chatelier - Acceleration of a cart lab report answers - Return and Risk - The secret life of bees annotations - Cannibalization rate formula - Freud the uncanny summary - When inductors are connected in parallel - Language experience approach kindergarten - Human population ecology cemetery lab answers - International association of colon hydrotherapy - Paulson company issues 6 four year bonds - Health and physical assessment reviews and rationales - Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings - Clatford ce primary school - Information management at homestyle hotels - University of edinburgh matriculation number - Discussion - Cultural and Societal Influences on Health - Calculate formal charge on each oxygen atom in ozone - What is a clean price