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
Premium Anesthesia Patient Nursing
The Hindus Banjara‚ who are known by 53 different names‚ primarily language Lambadi or Lamani (53%) and Banjara (25%). They are the biggest wanderer bunch in India and are known as the root rovers of the earth. Rovers started making a trip from India to various areas of Europe many years back‚ and varying tongues advanced in the locales in which every gathering settled. The Banjara’s name is gotten from the word bajika‚ which implies exchange or business‚ and from banji‚ which means sellers pack
Premium India United States United Kingdom
TOPIC: Cellular structure AIM: To draw a tissue map of a dicotyledonous root. APPARATUS AND MATERIALS: Microscope‚ slides of the dicotyledonous root‚ and drawing materials such as pencils‚ ruler‚ and an eraser. METHOD/PROCEDURE: -The microscope was set on the tabletop (a flat‚ sturdy surface) where there was plenty of room to work with and was plugged into a power source. -The slide of the specimen (dicotyledonous root) was placed onto the stage of the microscope. -Using the microscope‚ the
Premium Root Xylem Vascular plant
Nature Is All In this essay‚ I will come to grasp the conception of nature in broad scope to show the impact on the dimensions of cultural life. Its impact needs to be approach through pluralistic ideals as nature in itself is an all inclusive term. While some would argue the specificity of certain natural phenomena as the only “nature”. I will say that nature is indeed everything that exists outside the existence of the mind and how the mind perceives things. This ideal will pragmatically
Free Natural environment Human Wilderness
Ethics‚ Greed‚ & Psychology within the Libor Scandal Ethical dilemmas within the business environment have always garnered considerable attention and reaction from all global stakeholders. Issues such as fraud‚ insider trading‚ discrimination‚ bribery‚ and compensation are only some of the ethical problems that have disrupted the global financial system. In response to these ethical issues‚ stakeholders have undertaken various protective measures; for example‚ businesses have progressed
Premium Business ethics Ethics
Three races of hobbits‚ dwarves‚ and elves all with different personalities are on an adventure and encounter obstacles along the way. In the novel‚ The Hobbit‚ by J.R.R. Tolkien‚ it introduce the three main races‚ which are the hobbits‚ dwarves‚ and elves. The three races creates a big role in the storyline. There’s a group that is on an adventure throughout the map‚ and as their journey continues‚ they meet new people along the way. Although they have small similarities‚ the differences between
Premium The Lord of the Rings Bilbo Baggins The Hobbit
A Root Cause Analysis Western Governors University Author Note Organizational Systems and Quality Leadership (RTT1) A Root Cause Analysis Healthcare facilities that are accredited by Joint Commission are required after a sentinel event to conduct a root cause analysis (RCA). A root cause analysis is conducted to determine the cause or factors that contributed to the sentinel event. A few things must be asked in the RCA such as who‚ what‚ where‚ why and how in order to identify
Premium Management Root cause analysis Hospital
Observation of mitosis in garlic root tips Abstract The purpose of this experiment was to establish the different stages of mitosis which occur in the tip of a garlic root. The root tip which was used had already been pre-stained with an aceto-orecein stain. The stain made the root tips more visible so that under a light microscope it would be much easier to distinguish where the root tip was. While under the light microscope the objective was to be able to identify and distinguish each of the stages
Premium Eukaryote Chromosome Cell nucleus
On October 8‚ 1960‚ The New York Amsterdam News reported the article “Deep Are The Roots’ Still Important Play.” In 1945‚ Arnaud d’Usseau and James Gow’s play‚ Deep Are the Roots‚ first premiered on Broadway. According to reports‚ “…this production…is as shocking as ever as it dramatizes the impasse still prevalent in the South between Negros seeking social equality and the “over my dead body” reactionary Southerners.” (Walker 1) In this play‚ Brett Charles‚ an African American lieutenant had difficulty
Premium African American Race Black people
The overarching theme in "Godfather Death" by Jacob & Wilhelm Grimm reminds us that greed will always be one’s demise and it is impossible to cheat death. The story begins with a father looking for a suitable godfather for his thirteenth child. He encounters both God and the devil but passes on both of them. Consequently he chooses the devil as the suitable godfather‚ since he says death treats all men equally. Godfather death gives the young man a gift at his baptism; an herb‚ which he allows him
Premium Hamlet Oedipus Characters in Hamlet