A. 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.
B. Propose a process improvement plan that would decrease the likelihood of
a reoccurrence of the scenario outcome. - Discuss how each phase of Lewinʼs change theory on the human side of
change could be applied to the proposed improvement plan.
C. Explain the general purpose of the failure mode and effects analysis (FMEA)
process. - Describe the steps of the FMEA process as defined by IHI.
- Complete the attached FMEA table by appropriately applying the scales of
severity, occurrence, and detection to the process improvement plan
proposed in part B.
Note: You are not expected to carry out the full FMEA.
D. Explain how you would test the interventions from the process improvement
plan from part B to improve care.
E. Explain how a professional nurse can competently demonstrate leadership
in each of 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.
F. Acknowledge sources, using in-text citations and references, for content
that is quoted, paraphrased, or summarized.
G. Demonstrate professional communication in the content and presentation
of your submission.
Sample Solution
