Complete root cause analysis to investigate adverse incident

Reference no: EM133585360

Scenario-The medication delivery system at a healthcare facility only allows documentation of the medication after it has been administered to the patient. A patient received two doses of a medication. This error was discovered when the second staff nurse came back to chart the dose given and saw that another nurse had charted. You will be conducting a root cause analysis to respond to and investigate this adverse incident. The RCA will help you identify any system errors with medication administration. To prevent such errors in the future, the senior leadership in the healthcare facility wants to take proactive measures. This involves an additional step in the administration process. You have been asked to begin a SWOT analysis to evaluate this additional step. You will analyze if the organization can sustain an additional process in the medication delivery system.

1. Perform a root cause analysis. Complete a root cause analysis to investigate the adverse incident. Explain the system elements and the investigation taking place. Include the following details:

A. Explain the system elements that need to be investigated.

B. Explain how the investigation needs to be carried out.

Reference no: EM133585360

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