Root Cause Analysis Paper

4799 Words20 Pages
C E 2.5 CONTACT HOURS Drill down with root cause analysis Know the source of the spark while protecting yourself from the fire. By Ann MCDonald, RN, MN, and Thomas Leyhane, JD Abstract: Review the structure of an effective critical event analysis and suggestions for completing documentation and maximizing knowledge while protecting your organization from litigation. [Nurs Manage 2005:36(10):26-32] ealthcare facilities have lived with event reporting for many years, although formats have varied. The genesis of the more recent flurry of activity in the realm of event reporting occurred in the wake of the Institute of Medicine (IOM) report To Err Is Human in November 1999.1 Now, we’re all very aware of the…show more content…
Process standardization with forms for each step will increase staff vigor and ease readability by senior leaders. The policy and work plan should contain target dates to maintain compliance with regulatory and accreditation standards. The policy should include the administrative or committee structure to which the RCA will be reported when complete. It’s also important to understand if the process for monitoring and reporting effectiveness and implementation data occurs at the departmental process improvement plan level or an organizational committee level. A lack of implementation monitoring with in-process and outcome measures will prevent sustainability of the recommended changes and increase the likelihood of the event recurring. Third step: Determine the sequence of events, contributing conditions, and assumptions related to the critical event. Given that most of the information will come from involved staff and supervising staff that may be able to critically assess the contributing factors, the interviews should begin immediately once the patient receives care…show more content…
Earn CE credit online: Go to http://www.nursingcenter.com/CE/NM and receive a certificate within minutes. INSTRUCTIONS Drill down with root cause analysis TEST INSTRUCTIONS • To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/nm. • On the print form, record your answers in the test answer section of the CE enrollment form on page 32. Each question has only one correct answer. You may make copies of these forms. • Complete the registration information and course evaluation. Mail the completed form and registration fee of $17.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form. • You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade. • Registration deadline is October 31, 2007. DISCOUNTS and CUSTOMER SERVICE • Send two or more tests in any nursing journal published by LWW together www.nursingmanagement.com and deduct $0.95 from the price of each

More about Root Cause Analysis Paper

Open Document