Organizational Systems and Quality Leadership Task 2.
Organizational Systems and Quality
Leadership Western Governors University
June 8, 2020
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, Organizational Systems and Quality Leadership Task 2.
A.
Root Cause Analysis is used to identify a process for classifying contributing factors of a problem
that resulted in a negative outcome and ways to respond to the problem to come up with a solution to
prevent the problem from happening again.
A1.
There are six steps in the RCA process. The first is to identify the scenario and what happened.
The team needs to gather and investigate information. Information like medical records and reports of
the person involved should be gathered. The second step is to select a coordinator for the team who is
knowledgeable of the events, and no one from the event should be one the team. The third step is to
gather and organize information about the event. The team will review current policies related to the
incident, conduct interviews of personnel, and any other relative information to the event. The fourth
step is to identify why the event happened, what were the conditions, what was the situation. The
team will look to see what might have happened to increase the chances of this event happening and
will also look to see if protocols were not followed. The fifth step looks at factors that may have
contributed to the event and find the process used for the event. The team will look at the factors and
establish a root cause by asking “why” questions. The sixth step is to write a summary of the event and
outline and introduce changes to the processes to prevent a similar event from occurring. The facilities
determine what events will need an RCA process. (IHI, 2020).
A2.
The scenario speaks about Mr. B, Mr. B is a 67-year-old male who was heavily sedated to
reduce a left hip. The medication give to sedate Mr. B was given too close together and was not given
adequate time to work. Following the procedure, the patient was placed on blood pressure and pulse
This study source was downloaded by 100000839495789 from CourseHero.com on 04-14-2022 07:23:30 GMT -05:00
https://www.coursehero.com/file/67802609/Organizational-Systems-and-Quality-Leadership-Task-2docx/
Organizational Systems and Quality
Leadership Western Governors University
June 8, 2020
This study source was downloaded by 100000839495789 from CourseHero.com on 04-14-2022 07:23:30 GMT -05:00
https://www.coursehero.com/file/67802609/Organizational-Systems-and-Quality-Leadership-Task-2docx/
, Organizational Systems and Quality Leadership Task 2.
A.
Root Cause Analysis is used to identify a process for classifying contributing factors of a problem
that resulted in a negative outcome and ways to respond to the problem to come up with a solution to
prevent the problem from happening again.
A1.
There are six steps in the RCA process. The first is to identify the scenario and what happened.
The team needs to gather and investigate information. Information like medical records and reports of
the person involved should be gathered. The second step is to select a coordinator for the team who is
knowledgeable of the events, and no one from the event should be one the team. The third step is to
gather and organize information about the event. The team will review current policies related to the
incident, conduct interviews of personnel, and any other relative information to the event. The fourth
step is to identify why the event happened, what were the conditions, what was the situation. The
team will look to see what might have happened to increase the chances of this event happening and
will also look to see if protocols were not followed. The fifth step looks at factors that may have
contributed to the event and find the process used for the event. The team will look at the factors and
establish a root cause by asking “why” questions. The sixth step is to write a summary of the event and
outline and introduce changes to the processes to prevent a similar event from occurring. The facilities
determine what events will need an RCA process. (IHI, 2020).
A2.
The scenario speaks about Mr. B, Mr. B is a 67-year-old male who was heavily sedated to
reduce a left hip. The medication give to sedate Mr. B was given too close together and was not given
adequate time to work. Following the procedure, the patient was placed on blood pressure and pulse
This study source was downloaded by 100000839495789 from CourseHero.com on 04-14-2022 07:23:30 GMT -05:00
https://www.coursehero.com/file/67802609/Organizational-Systems-and-Quality-Leadership-Task-2docx/
