Root cause analysis of sentinel incidents

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Reference no: EM132138666

Question:

The class examined the Joint Commission's framework for root cause analysis of sentinel incidents in health care organizations. For purposes of this project, a critical incident is a key occurrence, but it is not a sentinel event. A bow-tie analysis places the critical incident at the center of the framework and identifies in graphic format the root cause leading up to the incident on the left side of the critical incident. On the right side of the incident, key preventive measures are graphically represented. In one image, you will capture the incident (at the center), the causes for failure in quality, and (on the right) preventive measures a manager can put in place to stop this failure from happening in the future.

The final graphic will appear as a bow-tie.

Articles and resources on the application of a bow-tie analysis have been provided in this week''s readings for the student''s reference.

Formatting:

Title Page

1 page (double spaced) Page should clearly articulate what the critical incident is and provide background.

1 page Page should include the bow-tie analysis

Reference Page (2 references minimum)

Written document should conform to American Psychological Association (APA) 6th Edition

Verified Expert

This assignment efficiently explain about a health assessment tool used in maintenance of health in hospitals by healthcare professionals. This is referred as Bow-Tie analysis, barrier tool. It actually, relates causes and their probable consequences for an incident. That incident may be critical or sentinel in aspects of its occurrence. This analysis tool is represented by pictorial representation where at the left side causes, at the center that incident or hazard and on right side consequences are shown, which are elaborated at many places in our assignment.. This tool is also accepted by Joint commission and also validated by government time to time.

Reference no: EM132138666

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11/26/2018 11:31:12 PM

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