Nurse Manager

Category - Performance

Root Cause Analysis must be thorough and credible. What must be done in order for this process to be thorough?
  1. It must identify all risk points.
  2. It must ask a series of “Who” questions.
  3. It must be at least 6 hours in duration.
  4. It must be internally consistent.
Explanation
Answer: A - In order for a Root Cause Analysis to be thorough it must identify all risk points. Processes are complex and, as such, there are risk points. Many of these risk points occur as a result of interdepartmental communication and coordination. Some of the other things that must be done in order for this process to be thorough include an analysis of the process with a series of “Why” questions and one that includes all aspects of JCAHO’s Minimum Scope of Review of Root Cause Analysis.

Category: Performance improvement - Patient safety
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