Last day of the OFFER FLAT 20% off & $20 sign up bonus Order Now
Last day of the offer FLAT 20% off & $20 sign up bonus
This is a report, which depicts the root cause analysis of a health care organization where a sentinel event has occurred. The cause and effect fishbone diagram has been used to identify the causes for this incident. The analyses of severe incident in done through a structured method, which is known as the root cause analysis. Root cause analysis is a tool for the analysis of the error and it helps to identify the fundamental problems in an organization. The root cause analysis is an effective method of the identification of errors done by the individuals in an organization. The root cause analysis not only identifies the active errors in an organization but also at the same time identifies the hidden errors within an organization. Root cause analysis collects all the relevant data and constructs it into effective way by conducting interviews and reviewing the existing records.
Fishbone analysis is one of the methods, which is used in quality management to identify the main causes for occurrence of an event (Izudi et al., 2017). The diagram portrays the causes and the effects of a problem; this can be considered as a tool for visualization and can be used to identify the major factors. This diagram is also known as Ishikawa diagram (Jingxia et al., 2014).
The above fishbone analysis shows the exact causes that has caused the death of the patient. The community hospital wing specialises in the delivery of women and the doctor made an error of judgement (Latino, Latino & Latino, 2016). She already had the idea that operation theatre was in the third floor the hospital and it will take more time than the expected to reach there. The staffs were aware of the fact that the lift will take more time and the condition of the patient may deteriorate within that time period. There should have been better communication among the staffs; the lack of communication between them caused them to take more time than the expected to reach the operation wing (Abdi & Ravaghi, 2017). There are certain cases where emergency equipments are required but there are no availability of equipments for the contingencies.
Thus, after the evaluation of the fishbone analysis the report is able to identify the various causes, which has lead to the sentinel incident. The death of a patient is a serious issue and so it is necessary for the hospital authorities to identify the causes for the incident so that the hospital can prevent further events like this. This analysis will help the organization to prevent such incidents in the future and help in better structuring of the organization. There are various hidden issues that have not been identified earlier and with the help of the root cause analysis, the hidden issues have been magnified.
Abdi, Z., & Ravaghi, H. (2017). Implementing root cause analysis in Iranian hospitals: challenges and benefits. The International journal of health planning and management, 32(2), 147-162.
Izudi, J., Epidu, C., Katawera, A., & Kekitiinwa, A. (2017). Quality Improvement Interventions for Nutritional Assessment among Pregnant Mothers in Northeastern Uganda. BioMed Research International, 2017.
Jingxia, L., Huani, P., Dan, L., & Li, G. (2014). Fishbone diagram reduces the incidence of blood residual after sealing tube indwelling needle. Modern Clinical Nursing, 9, 020.
Latino, R. J., Latino, K. C., & Latino, M. A. (2016). Root cause analysis: improving performance for bottom-line results. CRC press.
No matter how close the deadline is, you will find quick solutions for your urgent assignments.
All assessments are written by experts based on research and credible sources. It also quality-approved by editors and proofreaders.
Our team consists of writers and PhD scholars with profound knowledge in their subject of study and deliver A+ quality solution.
We offer academic help services for a wide array of subjects.
We care about our students and guarantee the best price in the market to help them avail top academic services that fit any budget.
I've tried plenty of assignment services before, but Assignmenthelp.us takes the cake. My assigned writer made sure to clarify all the points of my assignment and reassured me he'd get it done in 3 days. I was surprised when he delivered the paper the next day! The writing quality was exceptionally high, and I ended up with the best grades in class.
Sarah Glove
lko
I've always received low grades in my class for many years. I could ignore it before, but taking a risk in my final year would have been careless. My friends always spoke highly of Assignmenthelp.us, so I decided to give it a try. I was surprised at how low the prices were. My grades improved a lot, so I highly recommend everyone to try them out.
George Brian
If you're looking for a service that can provide you great assignments, Assignmenthelp.us is the best option there is. The writer was the most professional out of all the services I have hired till now. Any time I had a question, their customer care always replied to me in a few minutes. I'll surely come back to use their services again.
Samantha Rich
Thank you for Subscribe to us
Thank you for Subscribe us. You will receive a confirmation email shortly in your subscribe email address.
Have any Query? Contact with us
You will receive a confirmation email shortly in your subscribe email address.
You have already subscribed our newsletter.