- Explain the general purpose of conducting a root cause analysis (RCA).
- Explain each of the six steps used to conduct an RCA, as defined by IHI.
- Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.
- Propose a process improvement plan that would decrease the likelihood of a reoccurrence of the scenario outcome.
- Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.
- Explain the general purpose of the failure mode and effects analysis (FMEA) process.
- Describe the steps of the FMEA process as defined by IHI.
Note: You are not expected to carry out the full FMEA.
- Explain how you would test the interventions from the process improvement plan from part B to improve care.
- Explain how a professional nurse can competently demonstrate leadership in eachof the following areas:
- promoting quality care
- improving patient outcomes
- influencing quality improvement activities
- Discuss how the involvement of the professional nurse in the RCA and FMEA processes demonstrates leadership qualities.
- Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
- Demonstrate professional communication in the content and presentation of your submission.