Now that you have learned how to conduct a Root Cause Analysis (RCA), please perform one for the following scenario in your role as Quality Director for a 300 bed Nursing Home in Manhattan: Mr. Caring, a Nursing Home patient was identified at risk for elopement They were given a wanderguard bracelet, which is connected to the front and stairwell doors Resident has been at facility for 15 years, is alert and oriented x 2-3, smoker, walks a small amount of feet and usually sits in a wheelchair, which they propel. The resident is on 30 minute safety checks At 7:00 am on Monday, you are at the facility and informed that Mr. Caring's empty wheelchair ws found at the back door a few minutes prior. Next steps.... do your root cause analysis to find out what happened and when you do, develop a corrective action plan tp prevent it from happening again. There are different RCA formats available. Explore the templates and select one you are comfortable with. JCAHO has a very comprehensive template available.
Now that you have learned how to conduct a Root Cause Analysis (RCA), please perform one for the following scenario in your role as Quality Director for a 300 bed Nursing Home in Manhattan:
Mr. Caring, a Nursing Home patient was identified at risk for elopement
They were given a wanderguard bracelet, which is connected to the front and stairwell doors
Resident has been at facility for 15 years, is alert and oriented x 2-3, smoker, walks a small amount of feet and usually sits in a wheelchair, which they propel.
The resident is on 30 minute safety checks
At 7:00 am on Monday, you are at the facility and informed that Mr. Caring's empty wheelchair ws found at the back door a few minutes prior.
Next steps.... do your root cause analysis to find out what happened and when you do, develop a corrective action plan tp prevent it from happening again.
There are different RCA formats available. Explore the templates and select one you are comfortable with. JCAHO has a very comprehensive template available.
Disclaimer: A generalized answer format is provided. As it is not possible to submit a template or use the JCAHO template, considering Bartleby's authoring guidelines.
Root Cause Analysis (RCA) is a structured problem-solving approach that helps to identify the underlying cause or causes of a problem or event, rather than just addressing the symptoms. It is a process that involves gathering data, analyzing the information, identifying the root cause of the problem, and then developing and implementing corrective actions to prevent the problem from occurring in the future.
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