A Root Cause Analysis Western Governors University Author Note Organizational Systems and Quality Leadership (RTT1) A Root Cause Analysis Healthcare facilities that are accredited by Joint Commission are required after a sentinel event to conduct a root cause analysis (RCA). A root cause analysis is conducted to determine the cause or factors that contributed to the sentinel event. A few things must be asked in the RCA such as who‚ what‚ where‚ why and how in order to identify
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treated Greg as her protege. IBM’s Working Environment Problem: HS Holding’s server went down and for the second time Sun didn’t respond as per SLA. They are now threatening a law suit and Greg has to fix the problem immediately. Upon root cause analysis‚ he finds out that his team has several interpersonal issues and a lot of dis-harmony. Some examples are 1. Time Zone clashes for working in multiple teams was an issue. 2. Compensation Mismatch 3. Vacation and work load distribution
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National identity and globalization A nation is a human cultural and social community. In as much as most members never meet each other‚ yet feel a common bond. Members of a "nation" share a common identity‚ and usually a common origin‚ in the sense of history‚ ancestry‚ parentage or descent. A nation extends across generations‚ and includes the dead as full members. Past events are framed in this context: for example‚ by referring to "our soldiers" in conflicts which took place hundreds of
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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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Impact of westernization on Indian culture The culture of India has been shaped not only by its very long history‚ unique geography and diverse demography‚ but also by its ancient heritages‚ culture and traditions. Regarded by some historians as the "oldest living continuous civilization of Earth"‚ the Indian tradition dates back to 8‚000 BC and has a continuous recorded history for over 2‚500 years (starting from Rig Vedic period). Indian Culture‚ which is one of the oldest
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Westernized There are approximately seven billion people living on this planet‚ and the United States has over three hundred million people. Up to eleven million of these people are suffering from eating disorders while approximately seventy two million people are obese (Kirby). The individualistic‚ Western culture that envelops the United States is a supportive environment for this negative body image epidemic that is taking place. Individualistic societies have loose bonds between individuals;
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Jenny Cho February 7‚ 2013 Stewart Assignment #4: Japan (Prompt/thesis) Prompt: Discuss possible reasons why Japan was the only non-western state to nationalize and win recognition as an equal and how it managed to accomplish this in a mere half century. Thesis: Being aware of recent Western invasions in China‚ Japan had recognized the need to transform their institutions and its society‚ therefore‚ Japan embraced nationalism. By 1649‚ Japan had shut down contact with the European world with the
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he decide that Russia was not suitable for the modern advancements of their neighboring European nations. Not only did Peter adopt the standard of living of the western European world; his efforts sped up Russia’s development greatly. In the westernization of Russia‚ Peter made a more stable government. For example‚ he created a board of administrators to deal with certain functions of the government to make it run more smoothly. These ideas of "colleges" were borrowed from Western ideas. To make
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