Root Cause Analysis One of the more recent methods of investigating medical errors (MEs) and adverse reactions (ARs) is root cause analysis. Root cause analysis (RCA) is a systematic approach in investigating patient safety incidents by illuminating systemic problems and factors that contribute to MEs and ARs (Bowie‚ Skinner‚ & de Wet‚ 2013). The root cause of an incident is investigated using several analytical and problem-solving methods to uncover the detailed causes of a ME or AR (Bowie et al
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In this paper‚ I am going to be comparing two different articles about medication errors by nurses. Medication errors happen way too often and I hope that by writing this paper‚ I can help reduce my chance or someone else’s chance of making a medication error. The first medication error article that I read was about a male patient in Florida. The patient was complaining of an upset stomach so the physician prescribed an antacid. Instead of giving the patient an antacid‚ that nurse gave the patient
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responsibility. When a medication error occurs‚ ethical issues such as a loss of human dignity‚ fidelity and beneficence also occur‚ which leads to patient dissatisfaction and mistrust. Social issues often interplay with any sort of medical error as well. Medication errors often result in damaged social relations such as the nurse-patient relationship and the healthcare system’s image. When nurses make a medication error they are obligated to report their mistake to the charge nurse‚ the patient
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Root Cause Analysis 1 Root Cause Analysis • Root Cause Analysis is a method that is used to address a problem or non-conformance‚ in order to get to the “root cause” of the problem. It is used so we can correct or eliminate the cause‚ and prevent the problem from recurring. • Traditional applications of Root Cause Analysis – Resolution of customer complaints and returns. – Disposition of non-conforming material (Scrap and Repair) via the Material Review process. – Corrective action plans
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an interesting study to read and examine. Medication errors are a significant problem‚ but not a problem that cannot be solved. There are precautions that can be taken to minimize the errors. The three specific areas the study focused on were prescription‚ transcription‚ and administration phase. Many errors occurred during all three phases‚ however‚ not all of the errors made it to the patients. Most of the errors that reached patients did not cause harm. Ethical considerations were used during
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Medication errors According to The National Coordinating Council for Medication Error Reporting and Prevention (2015)‚ medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional‚ patient‚ or consumer. Medication can be harmless but with mistakes in prescribing‚ dispensing and administering medications‚ it can cause injury to all population groups while impacting our public
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Medication errors are preventable event that may cause or lead to inappropriate medication use or harm to a patient‚ according to the Food and Drug Administration (FDA‚ 2015). The Centers for Disease Control and Prevention states that there are over 700‚000 visits to hospital emergency as an injury result from the use of a medication (CDC‚ 2015). The CDC goes on to say that the number of adverse drug events is likely to increase due to the development of new medications‚ aging population‚ increase
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"A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional‚ patient‚ or consumer” (NCCMERP‚ 2016). According to the Academy of Managed Care Pharmacy (2010)‚ medication errors are among the most common medical errors‚ harming at least 1.5 million people every year. Someone who has experience working with medications and the errors of them would be Laurie Dworkin. Laurie
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Root Cause Analysis: A Framework for Tool Selection A. MARK DOGGETT‚ HUMBOLDT STATE UNIVERSITY © 2005‚ ASQ This article provides a framework for analyzing the performance of three popular root cause analysis tools: the cause-and-effect diagram‚ the interrelationship diagram‚ and the current reality tree. The literature confirmed that these tools have the capacity to find root causes with varying degrees of accuracy and quality. The literature‚ however‚ lacks a means for selecting the appropriate
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Root Cause Analysis A thorough analysis of our metrics for the last couple of years has shown that our inventory turns are currently trending behind other retailers and similar business types in the industry. As an organization we must look internally to identify the business processes or systemic limitations occurring that limit our ability to remain competitive in our market. To achieve this result we will conduct a root cause analysis (RCA) to aid in identifying the inefficiencies that
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