ROOT CAUSE ANALYSIS OF A SENTINEL EVENT Diane Swintek Western Governors University Root Cause Analysis of a Sentinel Event A root cause analysis (RCA) is a method by which we can examine a serious adverse event and identify the cause‚ or causes‚ that led up to the event. Although personnel are involved in these events‚ the primary purpose of the RCA is to identify the cause‚ not to assign blame (Agency for Healthcare Research and Quality‚ 2014). It is through identifying a cause‚ or
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Tinnitus is the perception of sound in the ears or head without evidence of and external source to cause the perceived sound. The sounds usually described involve whistling‚ buzzing‚ and ringing and can vary in pitch from a low roar to a high squeal. The exact cause and pathophysiology of tinnitus is not yet established. Most tinnitus is associated with damage to the auditory system although it may be attributed to several other factors. There are several studies indicating several causes such as
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IHCD Paramedic Module H Assessment Using the answer sheets provided‚ encircle your answer against the corresponding question number. 1 Weight has the greatest effect on the amount of kinetic energy produced a. TRUE b. FALSE 2 Blunt trauma produces temporary cavitation a. TRUE b. FALSE 3 Sympathetic action causes pupil dilation a. TRUE b. FALSE 4 A capillary refill of more than 4 seconds indicates serious circulatory compromise a. TRUE b. FALSE 5 In time critical patients‚
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NR 340 – Clinical Assessment Guide with NCP Organizer Student Name ____CP_____________________ Date _2/12/13_____ Pt Initials _MK_____ Medical Diagnosis #1: Multiple coronary artery disease Chief Complaint #1 Use Quotes: ”Shortness of breath and chest pain for over a month now” on 2/6/13 on day of Admission Chief Complaint #1 Use Quotes: “Pain 8/10” on day of your nursing care Prior Illnesses Hypertension‚ coronary artery disease‚ obesity‚ angina Family History Father
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sphincter relaxations. Pregnancy also increases the risk of reflux by increasing intraabdominal pressure and through hormonal mechanisms. In addition‚ pharmacologic agents such as progesterone-containing medications (birth control pills)‚ narcotics‚ benzodiazepines‚
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Medical Marijuana: Scourge or Savior May 15‚ 2012 Medical Marijuana: Scourge or Savior In the United States and many other countries around the world Marijuana (the plants cannabis sativa or cannabis indica) is considered an illicit drug. In the North America‚ marijuana and tetrahydrocannabinols (THC‚ its variants and synthetics) have been classified in the DEA’s schedule I drug class‚ under the Control Substances Act of 1970‚ which includes many other substances such as heroin‚ LSD‚ mescaline
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Nursing Considerations for Mr. J.’s Visit to the E.R. Mr. J. is an 84 year old man who was admitted to the hospital for assessment after a fall. His physical assessment indicated multiple contusions to the face and shoulder‚ an unkept appearance and possible malnourished state. While a CAT scan and x-ray showed no fractures or bleeding‚ the fact that the patient had head trauma was most alarming. Traumatic injury to the head could lead to a hemorrhagic stroke or cerebrovascular accident‚ could
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Alcoholism Alcoholism is a progressive and chronic disease that includes controlling drinking‚ using alcohol even though it causes problems‚ having physical dependence with alcohol‚ or having withdrawal symptoms when one tries to cut back or stop consuming alcohol. One can have a problem with alcohol and not have it progressed to alcoholism. That is called problem drinking which means one drinks too much causing repeated problem in their life. According to the Mayo Clinic (2012)‚ binge drinking
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Silver Linings Playbook Essay Jason Lin Camden County College Pat the main character of the movie has bipolar disorder. Bipolar Disorder is also known as Manic Depressive Disorder. Bipolar Disorder consists of mood swings from the lows of depression to the highs of mania. These mood swings may happen as often as a few times a day to a few times a year. The exact cause of Bipolar Disorder is still unknown. Since the exact cause of Bipolar Disorder is unknown it is unknown what
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Medicine management can be defined as ‘the clinical‚ cost-effective and safe use of medicines to ensure patients get the maximum benefit they need‚ while at the at the same time minimising potential harm.’ (Medicines and Healthcare products Regulatory Agency (MHRA) 2004). This essay will analyse the role and responsibility of the nurse in medicine management. It will then examine the complexities which arise when applying this clinical skill in the context of learning disability nursing in
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