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Essay / Research Paper Abstract
This 3 page paper looks at a root cause analysis from the viewpoint of the Chief of Medical Staff in a mock situation. Bibliography lists 4 references.
Page Count:
3 pages (~225 words per page)
File: JV57_JVrcamed.rtf
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Unformatted sample text from the term paper:
Staff Battles, Dixon, Borotkanics, Rabin-Fastmen & Kaplan (2006) state that the first requirement of the Root Cause Analysis (RAC) is to identify the
errors made in the past to discover trends and outcomes. This is followed by identifying the actions that must be taken, as well as outcomes with measureable results. It is
the responsibility of the Chief of Medical Staff to look at the current incident from the perspective of what can be done to reduce the risks of the close call.
In support of analyzing the risks, the team has raised a number of pertinent questions concerning organizational operations. As Mengis & Nicolini
(201) have stated , the purpose of the RAC process is that after the root causes of the adverse events are identified, counter measures can be implemented that allow
the organization to develop safer practices. However, Mengis & Nicolini (2010) found in a study of clinics that RAC solutions were not always put into action. Therefore, the counter measures
would be designed to set a course of action with measurable outcomes. These would need additional follow through to ensure completion under the hospital training guidelines to ascertain that all
measures have been addressed and reached a conclusion. At that time, it is again, important to review whether the counter measures were effective.
All of the team has contributed to the RAC, identifying activities at risk. Overall, there appears to be a lack of education on the short stay unit (SSU).
This indicates a need to retrain staff in the operation of the SSU system. Consideration could be made whether an expert operator should be trained in the system as a
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