You are a risk manager of a tertiary care hospital and have just received a letter from a patient who was recently discharged from your facility. Understand that before you can fix the problem described in the patient’s letter, you must first understand the root causes of problems. Read the case study on page 268 in your textbook. Afterwards, address the following:
 
Describe root cause analysis
Evaluate the problem and the risk (s) identified in the case study
Would you consider this situation to be a close call or near miss? If so, why?
What is an effective action plan or initiative toward improving quality? Be sure to include safeguards that will prevent future errors.
What methods/tools could be used to maintain quality?
Summarize with your thoughts about the root cause analysis tool as it relates to risk management and quality improvement.
Submission Requirements:
 
Your paper should meet the following requirements:
 
Be three to four pages in length, not including the cover or reference pages.
Be formatted according to the CSU Global Writing CenterLinks to an external site..
Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external. The CSU Global LibraryLinks to an external site. is a good place to find these references.
Utilize headings to organize the content in your work.
Reference:
 
Spath, P.L. (2022). Applying Quality Management in Healthcare: A Systems Approach. Health Administration Press.