100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURSING BS C489 / C 489 Task 2 Organizational Systems and Quality Leadership GRADED A+ $15.49   Add to cart

Exam (elaborations)

NURSING BS C489 / C 489 Task 2 Organizational Systems and Quality Leadership GRADED A+

 0 view  0 purchase
  • Course
  • Institution

NURSING BS C489 / C 489 Task 2 Organizational Systems and Quality Leadership GRADED A+

Preview 2 out of 14  pages

  • February 15, 2022
  • 14
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers
avatar-seller
Running head: ORGANIZATION SYSTEMS AND QUALITY LEADERSHIP - TASK 2 1




Organizational Systems and Quality Leadership – Task 2

Yen My Le Nguyen

Western Governors University

, ORGANIZATION SYSTEMS AND QUALITY LEADERSHIP - TASK 2 2

Organizational Systems and Quality Leadership – Task 2

A. Root Cause Analysis

A root cause analysis is widely used in healthcare as a tool to analyze errors of an adverse

event (Huber and Ogirnc, 2016). It is a systematic method to identify the fundamental causes,

which can be corrected to prevent future recurrences.

A1. Six Steps of Root Cause Analysis

The Institute of Healthcare Improvement has identified a six-step process when

conducting a root cause analysis (Huber and Ogirnc, 2016). The first step is to identify what

happened. The designated team will gather information about the adverse event and try to

describe what happened accurately. The information comes from all the possible sources such as

the incident reports, staff interviews, patient’s charts and medical record reviews. The second

step is to review what could or should have happened if the hospital and the staffs implement a

good procedure. By comparing what happened and what should have happened in step 1 and step

2, the team can see what the differences are and where the problems occurred. The third step is to

determine the causes of the event. In this step, the team will identify both the causative factors

and contributing factors. While the causative factors are the obvious reasons leading the

outcome, the contributing factors are usually the underlying problems that are needed to be fixed.

The contributing factors are usually grouped into common categories related to healthcare

practices such as patient characteristics, task forces, individual staff member, team factor, work

environment, organizational factors and institutional context (Huber and Ogirnc, 2016). The

fourth step is to develop causal statements to explain how the contributing factors lead to the

unpleasant outcome. The causal statements have three parts: the causes, the effects and the events

(Huber and Ogirnc, 2016). The fifth step is to generate a list of recommended actions to prevent



Updated 6.13.2017

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller REBEKA. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$15.49
  • (0)
  Add to cart