present‚ barriers to the personnel being able to adequately complete their job‚ and how future staff interactions may be improved. In addition‚ the analysis will review the selected quality improvement approach to be used during the completion of a root cause analysis of the event and what can be done by Nightingale Community Hospital to ensure the sentinel event does not occur again. A1 – Sentinel Event – The following is a review by the Nightingale Community Hospital Quality Management (QM)
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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
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The New Product Development Process and Merck and Company Introduction The business environment of the 21st century is very different from the business environment 200 years ago. Since the Industrial Revolution until today‚ businesses have developed more and more products to meet the needs of an ever increasing world population. The cycle of business has been changed dramatically since the invention of the Internet‚ which has shortened the selling cycle and made it more convenient
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Agamemnon from the consequences of his figurative blindness by warning Aigisthos against the betrayal‚ but even the interference of the gods cannot assist Agamemnon when he is weakened by lack of knowledge. Another circumstance where inner vision is indirectly shown to be more powerful than the strength of the gods themselves is in the case of Demodokus. Demodokus’ example is unique in the fact that it can be argued that Demodokus’ literal blindness is a demonstration of the power of the gods to keep
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It started out as any other normal day. Except for one thing. "Plop". A blob of white‚ slimy goo fell onto the side of my bed. I look up‚ half expecting to see some sort of monster‚ drooling all over me. Instead I see a ceiling covered in goo. "Plop". This time it falls onto my face. Gross. I quickly roll out of my bed‚ and grab my shoes. By the time I am done with that‚ the atrocious liquid is spewing down my walls. "Mom!" I yell. I wait for a response but no one answers. I call for my mom
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money 3. Money is not the root of all evil. The lack of money is the root of all evil. 4. More 5. Money represents positive value 6. Money is the end product of what you did 7. Originally‚ Money was the solution to the problems(/inefficiencies in transactions) arising out of barter exchange system. 8. Money can’t be dispensed with 9. There’s no such thing as the root of evil! Money is the root of all evil The greed caused by
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character in Sophocles’ play Oedipus Rex‚ could not see the truth‚ but the blind man‚ Teiresias‚ "saw" it plainly. Sophocles uses blindness as a motif in the play Oedipus Rex. Oedipus‚ known for his intelligence‚ is ignorant and therefore blind to the truth about himself and his past. Yet‚ when Teiresias exposes the truth he is shunned. It is left to Oedipus to overcome his "blindness‚" realize the truth‚ and accept fate. Oedipus‚ "who bear the famous name‚" fled his home of Corinth in fear of fulfilling
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Roots of Scientific Revolution The eighteenth century is often referred to as the Enlightenment. The ideas of many individuals combined to create a movement that would not only sweep across Europe‚ but reach as far as the America’s. The main three roots that contributed to the Scientific Revolution are the following: The Muslim Scholars‚ The Renaissance and The Jewish and Christian Scholars .The idea of a world without caste‚ class or institutionalized crudity was what many were striving
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In the play Oedipus Rex by Sophocles‚ the themes of sight and blindness are developed in a way to communicate to the reader that it is not eyesight itself‚ but insight that holds the key to truth and‚ without it‚ no amount of knowledge can help uncover that truth. Some may define insight as the ability to intuitively know what is going to happen‚ or simply as the capacity to understand the true nature of a situation. Both definitions hold a significant role in the play‚ not only for more obvious
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Chris Hall 1-27-2011 African Women & Pop Culture Cultural Artifact Essay As a historical artifact I have chose a movie that only defines my family and I but African Americans as a whole. Given to us by Alex Haley in 1976‚ Roots gave us a inside look on African American history on the big screen. He brought it to our eyes to not only tell his background on his family history‚ but to show us what could be a lot of our ancestors in the early ages of this country. In the history of the United
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