RTT1 Task 2 Organizational Systems and Quality Leadership Western Governors University Leslie Baylor A. Complete a root cause analysis (RCA) that takes into consideration causative factors that led to the sentinel event (this patient’s outcome). “A central tenet of Root Cause Analysis (RCA) is to identify underlying problems that increase the likelihood of errors while avoiding the trap of focusing on mistakes by individuals” (AHRQ‚ 2012). The prevention of errors is the main emphasis of a RCA
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RTT1 Organizational Systems Organizational Systems & Quality Leadership Western Governors University A. Root Cause Analysis A complete root cause analysis (RCA) for Mr. B. is described below. Date of event: Thursday‚ __________ Time of event: 4:43 Detailed description of event including timeline: Thursday 3:30 pm Mr. B a 67 year old patient was admitted to the ER after a tripping and falling over his dog at his home by nurse J. He was complaining of 10/10 pain to his
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RTT Task 1 Alisha Diehl Western Governors University RTT Task 1 Nursing-sensitive indicators are utilized in healthcare to increase quality patient care‚ as well as patient safety. They reflect the organization‚ procedure‚ and products of patient care. In the presented scenario involving Mr. J‚ nursing-sensitive indicators can be used to identify the issues that interrupted the flow of quality patient care. Understanding Nursing-Sensitive Indicators A solid understanding of nursing-sensitive
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RTT Task 2 The provided scenario gives an account of a busy emergency department with competent staff‚ and the multiple errors that led up to the most severe error possible in healthcare‚ unnecessary death of a patient. A root cause analysis (RCA) can be utilized to help understand the systems at fault within the facility so that improvements can be determined and implemented to prevent any future occurrences (Cherry‚ 456). RCAs focus on systems rather than blaming individuals involved‚ therefore
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RTT1 Organizational Systems Task 2 Sabrina Bates Western Governors University Root Cause Analysis (RCA) is a tool designed to help identify not only what and how an event occurred‚ but also why it happened. We can see from this scenario that the root cause is the lack of oxygen given to this patient‚ however it is not the only cause. A string of events lead to this patients demise. The first and most important cause was that hospital policy was overlooked. In the scenario it stated
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TASK ONE FOR ENGL 1111 Instructions: I. Create a new Word document and save it on your H drive with the following document title: “Task1_ENGL_YOURLASTNAME.doc” Be sure to write your actual last name in the title where I have written “YOURLASTNAME.” Thus‚ I would save my document with this title: “Task1_ENGL_Seward.doc” Also‚ be sure to save the document in .doc format—NOT .docx. If you do not know how to do this‚ ask a fellow student or the instructor. II. Once you have created the document
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EST1 Task One While evaluating Company Q’s attitude toward social responsibility it seems they made some decisions based on the severe lack of revenue over a period time‚ which motivated them to close a couple of stores. Those stores‚ which were located in a major metropolitan area‚ were also characterized as high-crime areas. By closing those stores‚ it no doubt had a negative economic impact both directly and indirectly on the people in those store locations. For the now unemployed people
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RTT 1- Task 1 Michael Jackson Western Governors University Nursing-Sensitive Indicators The structure‚ processes‚ and outcome factors of nursing care are reflected in Nursing-Sensitive Indicators (NSIs). There are several things that the nurses in the provided scenario could have done to promote quality patient care. By being aware of restraint use as an NSI the hospital staff would be more likely to increase their focus and attention to its need and any development of complications
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EST1 TASK ONE Jennifer Oliver WGU Part A Company Q is not currently behaving in a positive manner when it comes to social responsibility; in fact‚ they seem to take an “I don’t care” attitude. They have closed several stores in big metropolitan cities citing that the stores are located in high crime areas and the stores were not turning a profit‚ this is very irresponsible behavior as it takes jobs away from the community‚ and these areas‚ unfortunately are the ones that need it the most. For years
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Part One Roles and Responsibilities – In my current role as an instructor some of my responsibilities are to keep up with current practice and make sure my qualifications are up to date (continuing professional development). I also make sure I know my organisations policies and procedures including risk assessments‚ fire evacuation and working with vulnerable adults. During my sessions I have to maintain a safe environment and make sure all learners are engaged in the task in hand. I regularly plan
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