Root Cause Analysis in Medication and Surgical Errors ...

NRSG378 Assessment 2: Root Cause Analysis Project

Based on the case study options provided, complete the following tasks:

1. Case Study Selection: Choose either Case Study Option 1 (Mrs Bentley’s surgical incident) or Case Study Option 2 (Mr Jeffries’ medication error). Clearly identify which case study you have selected.

2. Incident Overview: Provide a brief summary of the incident, including the key events and patient outcomes. Ensure that your summary highlights the main issue in the case study. (300 words)

3. Root Cause Identification: Using the information from the case study, identify the root cause of the incident. Explain why this was the root cause, considering all contributing factors, such as human error, environmental factors, or procedural failures. (400 words)

4. Implications for Patient Safety: Discuss the implications of the identified root cause for patient safety. How did this issue affect the patient’s health, and what potential risks could it pose in similar situations? (350 words)

5. Preventative Measures: Recommend at least two strategies or preventative measures that could have been implemented to avoid this incident. Justify your recommendations using evidence from the literature. (400 words)

6. Conclusion: Summarize the key points discussed in your response, including the importance of root cause analysis in preventing similar incidents in healthcare settings. (200 words)

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