SAT Task 2 Organizational Systems and Quality Leadership Western Governors University

Organizational Systems and Quality Leadership SAT Task 2 A. Root Cause Analysis In health care, all health care workers strive to provide quality patient care. However, errors occur and put patients at risk. Root Cause Analysis is where to begin when tracing back an adverse event. Adverse events can include wrong site surgery, wrong medication administration, and many other "preventable" incidences. Root Cause Analysis (RCA) uses a team approach to identify failures and aim for improvements given an event. We will view the given scenario and apply knowledge of Root Cause Analysis to find the chain of events that lead to the patient to the undesired outcome. A1. RCA Steps The first step in...