The post operative infection rate for patients having surgeries has slowly increased over the last several years and preventing surgical site infections (SSIs) has become a priority with many surgeons. The studies reviewed for this research have stressed the importance of prophylactic antibiotic therapy (Stefansdottir‚ et al. 2009) and that the timing of this dose being given is becoming the utmost importance; along with the importance of appropriate antibiotic being given. There is not a large
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Surgical Site Prep Gaston Herndon WGU Surgical Site Prep Procedure “Surgical site infection (SSI) complicates an estimated 5% of all clean contaminated operations performed annually in US hospitals and accounts for the most common nosocomial infection in surgical patient’s” (Hemani & Lepor‚ 2009‚ p. 190). Prior to draping and the incision being made in a surgical procedure the skin around the surgical site is prepped to help decrease the chance of a SSI after the surgery is completed. One
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Surgical Infection Issue with Central Venous Catheters in Oncology The reason for this paper is to analyze and provide applications for clinical practice guidelines (CPG) retrieved from the National Guideline Clearinghouse as it relates to surgical infections with central venous catheters in oncology patients. The title of the guideline is as follows: Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. Scope and Purpose
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which occurred at Nightingale Community Hospital and analyze all aspects of the event. This analysis includes a review of the personnel 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
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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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doing a RCA for an event such as this? Answer: The purposes of Root Cause Analysis (RCS) is to find out what happened‚ why such error did happen‚ and how to prevent it from happening again .The RCA process aimed to identify the root cause of the problem. It is a tool for identifying prevention strategies. Its effort is to build a culture of safety and move beyond the culture
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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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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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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 (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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