C489 Task 2
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A. Root Cause Analysis A root cause analysis is a systematic process for identifying root causes of problems or events and an approach for responding to them. [ CITATION Ris17 \l 1033 ] The final outcome for this scenario is that Mr. B died an unnecessary death. Mr B. died due to the lack of oxygen to the brain and ventricular fibrillation. Upon initial assessment of Mr. B. His vital signs were within normal limits. His oxygen levels at that time were good enough that he didnt require supplemental oxygen. Mr. B was given an increased amount of sedation meds to block his pain which were a direct effect for decreased O2 levels and hypotension. Being in a very busy emergency room unexpected things happened and he was not given the proper attention for his current situation. In...