Root Cause Analysis and its Role in Nursing Practice ...

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Assessment 2: Project

Purpose: This assessment enables students to demonstrate sound understanding of the application of professional nursing standards, national health standards, and organizational policy related to patient deterioration and a sentinel event. Students are given the opportunity to complete a root cause analysis (RCA) for one of two provided case study options.

Task:
Students will complete a root cause analysis, following the instructions below:

1. Briefly discuss how the identified root cause has led to the outcome for the patient.
   (250 words)

2. Discuss three (3) contributing factors which have likely led to this sentinel event.
   (350 words)

3. Identify and discuss two (2) separate NMBA RN Standards which were not practiced or maintained by the nurse(s) involved in this sentinel event, that may have led to the identified root cause. You need to identify and discuss specific sub-standards (e.g. standard 7.2, not just standard 7).
   (400 words)

4. Identify and discuss two (2) separate National Safety and Quality Health Service (NSQHS) Standards which were breached (or not met) in this scenario, that may have led to the identified root cause. You need to identify and discuss specific actions items (e.g. Clinical Governance Standard, action 1.03).
   (400 words)

5. Outline three (3) recommendations to address the contributing factors you identified from the chosen case study (from question 2). These recommendations need to include practical examples and identify who is responsible for actioning these recommendations.
   (350 words)

Submission Guidelines:

• Use the provided template to complete the assessment.
• Include at least 15 high-quality sources in the reference list.

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Solution: