C489 SAT task 2: RCA and FEMA WGU

C489 SAT task 2 A. Explain the general purpose of conducting a root cause analysis (RCA).

1. Explain each of thesixsteps used to conduct an RCA, as defined by IHI.

2. Apply the RCA process to the scenario to describe the causative and contributing

   factors that led to the sentinel event outcome

A Root Cause Analysis RCA) is done to identify what went wrong and how to prevent the error from happening again, this isnt a problem that was caused by negligence or willful harm. There are 6 steps, according to the IHI, to completing a RCA: 1) Identify what happened: This seems easy enough, but the event really needs to be analyzed. Teams of 4 to 6 people need to be formed, sometimes including patients and family members, but always...