Root Cause Analysis: Review of a Sentinel Event Western Governors University Root Cause Analysis: Review of a Sentinel Event Brief Description of the Event A 13 year-old girl‚ Tina‚ was admitted for outpatient surgery on September 14. Tina was accompanied by her mother‚ who was informed by nursing personnel she would be in surgery approximately 45 minutes and then recovery for one hour. Tina’s mother informed nursing personnel that she would be leaving‚ but would provide her cell phone number
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I will apply the root cause analysis method to look into this incident. The Root Cause Analysis method appeals to me because it is very straightforward and easy to use and I even downloaded a template where I could plug the date into the various boxes which was a great experience as it laid out the entire
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A. The general purpose of conducting a root cause analysis. “The key to solving a problem is to first truly understand it.” (Ask "Why" Five Times to Get to the Root Cause‚ 2017) Root cause analysis is a phrase that describes a wide range of methods‚ tools‚ and techniques used to investigate deeper and uncover the cause of a problem. A1. The six steps used to conduct an RCA‚ as defined by the Institute for Healthcare Improvement (IHI) Step 1: “Identify what happened”. (Patient Safety 104‚ 2017)
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Happiness When was the last time someone asked you what truly makes you happy? I remember the last day of high school sitting in my ninth period math class just staring at the clock counting the minutes that had gone by. All I kept thinking was how I wanted to be laying out on the beach and having fun with my friends‚ not sitting in that boring class listening to the boring teacher. Once that bell had run I was so relieved and so happy that I could now enjoy my summer down by the beach with my
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Aristotle‚ happiness may be described as the very thing that everyone in this world is pursuing for the whole life. Satisfaction of one’s necessities or desires‚ both mentally and physically healthy condition‚ superior social status and other kinds of good properties may consist of the meaning of this fantastic word. Meanwhile‚ happiness does also exert a subtle influence on one’s decision and choice. In other words‚ men generally do things out of their own interests to produce more happiness. Nevertheless
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Happiness and Virtue: Julia Annas “Virtue and Eudaimonism” Annas begins by taking stock of contemporary virtue ethics. She notices that there has been a resurgence in thinking about morality from the perspective of virtue (areté)‚ however‚ at the same time‚ it seems as though we have not likewise taken guidance from the ancients in terms of thinking about happiness (Eudaimonia). She thinks that to focus on the one without the other is to miss the point. After all‚ it is tough to make sense
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when I am down I keep falling... Falling to a place where Happiness is all but a myth A myth so believable I swear I can hear...laughter and joy.... But it is all a myth Because someday Peter Pan WILL grow up And caption hook‚ will be the least of his worries‚ but LIFE it’ll screw him over Forgive me for not believing in fairies Why do you think they call it neverland? Because we will NEVER LAND In a place where happiness is they key to eternity. Forgive me for growing up I’m sorry
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Benjamin Franklin‚ the first minister for the United States‚ a young taught scientist‚ and one of the most important Founding Fathers of our Nation‚ once proclaimed “The Constitution only gives people the right to pursue happiness. You’ve got to catch it yourself.” Shown in popular literature‚ the American Dream is a national philosophy of the United States‚ a set of principles where freedom takes account of the opportunity for prosperity and accomplishment‚ and tries to commit a rising stasis attained
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The results of the happiness Self-experiment supported the hypothesis that my overall happiness would increase as the days went on. Three acts of kindness a day for a week showed a positive impact on my life. Being kind to others while they might be strangers or friends made me feel more satisfied with my life. As the week went on I began to feel happier and with a much more positive energy. I also began to feel more confident in myself. By the middle of the week it began to feel more like a habit
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FOURTEENTH CONGRESS OF THE REPUBLIC ) OF THE PHILIPPINES First Regular Session SENATE S No. 1 1 7 JUL -3 P 1. .‚."c . . 4 4 812 Introduced by Senator Ramon Bong Revilla‚ Jr. EXPLANATORY NOTE It is a declared policy of the State to ensure and protect the rights of patients to decent‚ humane and quality health care. Further‚ the State shall adopt an integrated and comprehensive approach to health and development which shall endeavor to make essential goods‚ health and other
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