Preview

Root Cause Analysis

Satisfactory Essays
Open Document
Open Document
269 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Root Cause Analysis
Root cause analysis (RCA) is a structured method used to analyze serious adverse events.
The goal of RCA is to identify underlying problems that increase the likelihood of errors while avoiding the trap of focusing on mistakes by individuals. A team focuses on the identification of the errors that occurred. They analyze each error to determine the underlying factors (root causes), than if eliminated, can reduce the risk of similar errors in the future. Next, they put a plan into place, this will than by followed by periodic assessment of the effectiveness of the efforts taken to reduce the risk of any future errors.
All patients are entitled to receive safe and appropriate nursing care. They are also entitled to receive care from a competent and knowledgeable nurse. Our roles as RN’s is to provide this safe and competent care. One way to provide this special care is to take part in RCA by recognizing errors and promptly correcting the situation. An example of this includes giving and receiving the correct medications. A very important RCA that has been put into place not only at my place of employment but in all facilities is the five rights of medication administration. Nursing medication errors can and do happen. By implementing the 5 rights every time you pass your patient medications you are reducing the risk for error. By attempting to avoid medication errors you are putting your patient 's safety first and patient safety is a top priority in nursing care.

References

Mengis, J., & Nicolini, D. (2010). Root cause analysis in clinical adverse effects. Nursing Management,



References: Mengis, J., & Nicolini, D. (2010). Root cause analysis in clinical adverse effects. Nursing Management, 16(9).

You May Also Find These Documents Helpful

  • Better Essays

    RTT1 Task 2: Root Cause Analysis, Change Theory, FMEA, and Nursing Root Cause Analysis (RCA)…

    • 3223 Words
    • 93 Pages
    Better Essays
  • Satisfactory Essays

    Chasing McCree is a very inspirational book, to a lot of young people... it is about a young Cowboy named Chase, who moved to the city, because he was simply made to move away for bigger and better things. Briar, the young lady, has been in Florida all her life, all the riches, head cheerleader, popular and popular boyfriend. She had the world, until one night she was drugged and laying in the middle of a football field all alone, when Chase rides up on his horse to find her there. Both of their life's change since that night, Briar don't want her friends to make fun of her, for loving a Cowboy transfer from Montona... A nobody to everyone else. Chase doesn't care about anything but her, until he can't take Florida anymore and decides to move back to Atlanta. Briar cannot help herself, she's in love with Chase McCree.…

    • 431 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    References: Ackley, B. J. & Ladwig, G. B. (2008). Nursing Diagnosis Handbook: An Evidence-Based Guide…

    • 1547 Words
    • 7 Pages
    Better Essays
  • Good Essays

    McEwen (2014b) identifies that these theories have been tested extensively with a goal of identifying the cause, improve the patient’s care, and finding care. Julia could use these theories to help guide her patient’s care in all aspects.…

    • 482 Words
    • 2 Pages
    Good Essays
  • Good Essays

    DBQ: Simplified For Women

    • 852 Words
    • 4 Pages

    It's 1643 in England, and you’re a woman who longs for the opportunity to become a scientist. Not only is your husband so blessed to have a well-paying job, as you are located in the upper-middle class, but you are eager and joyful to begin learning about chemistry. There is a simple problem though, and that is that you want to be able to learn as much as you possibly can, but the only books you were allowed to buy were “Simplified for Women”. Why is that? Why don't you have the ability to be able to learn what men learn? It is quite simple, and that is because you live in the Renaissance, where men were heavily praised for their works and deemed strong and intelligent, while most of the time women were criticized and supposedly, “made to serve and obey man, not rule and command them”, (Doc 7). That is, though,…

    • 852 Words
    • 4 Pages
    Good Essays
  • Good Essays

    other staff. The studies show that nurses with higher patient ratio’s have higher incidence of…

    • 952 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Systematic Review

    • 1175 Words
    • 5 Pages

    References: Aiken, L.H., Clarke, S.P., Sloane, D.M., Lake, E.T. & Cheney, T. (2008). Effects of hospital care…

    • 1175 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    References: Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2010). Nurse 's pocket guide: Diagnoses, Prioritized…

    • 1726 Words
    • 5 Pages
    Powerful Essays
  • Better Essays

    Concept Care Map

    • 903 Words
    • 4 Pages

    Nursing Diagnosis #1 (three parts)Impaired WalkingRelated to: Insufficient muscle strength; impaired balance; pain; obesity As Evidence By: Bed rest, weight: 122kgs, impaired…

    • 903 Words
    • 4 Pages
    Better Essays
  • Better Essays

    Quality of Life and Functioning for End of Life Care. HAT2 Community Health Nursing. Western Governors University.…

    • 1801 Words
    • 8 Pages
    Better Essays
  • Powerful Essays

    The main focus of patient care was to control the patient’s pain. Also the patient experienced nausea, vomiting, and constipation .These symptoms were unwanted side effects of the opioids he was taking. During my placement the condition of the patient worsened. Pain increased, along with the side-effects of the medication taken by the patient. Some of the activities that the patient was able to perform independently became difficult, such as getting to the toilet and maintaining personal hygiene. The patient became restless at night time due to the increase of pain. At this point the amount of opioids taken by the patient was increased by the doctor, so that as well as the medication in the syringe driver the patient could take a set amount of strong opioids when required by mouth to relieve the pain. I will relate this care issue to the research article I have chosen to critique and discuss. These oral opioids where always administrated by his wife. The patient was unable to do it himself due to his physical deteriorated condition. However was always the patient that asked to take the medication when he felt he needed it. I have chosen…

    • 3442 Words
    • 14 Pages
    Powerful Essays
  • Powerful Essays

    Family Diagnoses

    • 1421 Words
    • 6 Pages

    According to the American Nurses Association (ANA) and the North American Nursing Diagnosis Association (NANDA), the use of nursing diagnoses is to assists the nurse in assessments and treatments of nursing problems. It provides an outline for the nursing model, and gives nurses a reference. The nursing diagnosis provides a clear focus for the development of health goals and nursing interventions. Nursing diagnoses and interventions focuses on individual patient crises, specific interventions, or medical diagnose (Warren, 1998). “It is imperative that information on common nursing diagnoses and interventions be researched, discussed, and incorporated into education and training” (Warren, 1998).…

    • 1421 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Patient Safety In Nursing

    • 322 Words
    • 2 Pages

    According to the article, more than 7000 inpatient deaths have occurred annually as a result of medication errors. Patient safety is the core value of the nursing profession, while nursing is being embraced in its caring attitude toward the patient, patient safety should be our number one priority. This article is very important to the nursing profession in part because it addresses one of the most significant issues of the profession, which is patient safety. According to the Nurse’s Practice environment article Flynn, Liang, Dickson, Xie, & Suh (2012) RNs are well positioned to serve as patient safety net. (p.180)…

    • 322 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Assess/Analyze | Plan | Implement | Evaluate | ------------------------------------------------- Mental Health DX------------------------------------------------- Schizophrenia(DSM-IV TR)Axis I | ------------------------------------------------- Nursing Diagnosis based on Maslow’s Hierarchy of Needs:------------------------------------------------- Safety & Security | Long-Term Goal | Short-Term Goal | Nursing Actions | Scientific Rationale | Evaluation | Related to:Predisposing Factors:…

    • 280 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Scope of Commerce

    • 2706 Words
    • 11 Pages

    The table no . 2.1 shows that the majority of the nurses responded that ingestion of chemical substances as the OP poisoning which was 96.7% and minority of them responded that it is the injection of acid which was 1.7%…

    • 2706 Words
    • 11 Pages
    Satisfactory Essays