Organizational Systems and Quality Leadership Task 2; SAT1-0517 Your Name (without letters or titles) Organizational Systems and Quality Leadership Task 2; SAT1-0517 A. Root Cause Analysis A root cause analysis is viewed as an approach that assesses the what, why, and how of an event to advance the safety of a given system. It puts into consideration the causes and errors that resulted in the occurrence of a sentinel situation (Jones & Despotou, 2016). As per the case study, the Sentinel situation was the death of a patient. The analysis focuses on decreasing errors rather than looking for parties to place the blame on. A1. RCA Steps The first step involves the identification of...
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