Essays on Root Cause Analysis

Obesity

Introduction Even if obesity has tapered off in the United States and contrary to our very worst fears, it is clear that dropping the overall rate of 38% of obese adults is a challenge that one can take on from a public health standpoint (“Obesity Rates”, 2017). Without a doubt, the Root Cause Analysis tool can come in handy here given that its five clear steps can help us get to the crux of the problem (“Root Cause”, 2017). So, without any further ado, let’s find long lasting solutions for the obesity problems in the United States. In ...

REFLECTIVE REPORT: DEVELOPMENT OF A REWARD MANAGEMENT SYSTEM

Reflective Report: Development of a Reward Management System Overview of the situation The purpose of this report is to reflect on the organisational structure and management system at Sur University College in Oman. Sur University College offers a number of very important services to students and the community alike, but there are certainly struggles that the organisation experiences as well. The college is a diverse learning environment, and the organisation as a whole employs a number of staff, which often has a compounding influence on the overall fluidity and efficiency of internal organisational culture. Underperformance is sometimes a problem ...

REFLECTIVE REPORT: DEVELOPMENT OF A REWARD MANAGEMENT SYSTEM

Reflective Report: Development of a Reward Management System Overview of the situation I reflect my experience at TSB Bank, Benford branch in 2016. The bank was underperforming since the employees were unable to meet the monthly set targets. This situation impacted the bank’s revenue as well as the provision of services to customers. Even after several meetings between the head of operations and employees, the situation worsened each month. A team of specialist was set up to investigate the issue. I was given the mandate to lead this team, and our core task was to identify the problem ...

Surgical site infection (SSI) is one reason that patients get readmitted within 30 days following the procedure. A quality improvement (QI) project will focus on prevention in order to lower the hospital’s SSI rate. The Plan-Do-Study-Act (PDSA) cycle is an appropriate framework to guide the QI process (Taylor et al., 2014). The “plan” phase entails forming a project team and should involve nurses, physicians, and other healthcare professionals who can impact the incidence of SSI. The team will perform a root cause analysis (RCA) to assess the contributory factors to the SSI and identify the goals and objectives ...

Introduction

Sentinel events occur unexpectedly within the working areas. When this event occurs, they can lead to serious injuries or deaths at a time. The injuries can be physical or psychological depending on the extent of injury (Valentin et al. 2006). However, the Joint Commission defines sentinel event as any unexpected incident in the health care sector, which can end in demise or solemn physical or mental damage to the patient in place. Nevertheless, sentinel events are not in any case related to the natural sickness of the patient neither the illness result into the occurrence of sentinel events. The ...

Root cause analysis

The healthcare system recognizes its first priority as the safety of the patient and the ability to afford the patient groups quality care. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has an obligation to ensure that healthcare facilities live to this expectation and one of the methods that have been employed over time to oversee the sustenance of quality and safe care is the requirement that all healthcare facilities regularly conduct root cause analysis of their facility (Chen, Schein & Miller, 2015). The RCA process is based on the need to determine any existing misses and errors that ...

WGU

A. Table of Contents Professional Resume – presents my clinical knowledge, skills, experience, and philosophy to potential employers Executive Summary – provides an overview of the contents of the portfolio Professional Reference Questionnaire – presents the objective and subjective evaluation of my key behaviors and clinical performance by one of my professional references Importance of the Institute for Healthcare Improvement (IHI) – discusses the need to develop knowledge and skills in quality leadership in order to improve the quality and safety of patient care and promote holistic, patient-centered care

Copy of IHI certificate of completion – serves to validate my completion of the IHI Organizational Systems and Quality Leadership course

Evidence-based Practice – summarizes an evidence-based research project on hand hygiene Applied Leadership – summarizes my ...

The main objective of this study is to understand, evaluate and analyze the fateful sentinel event, which struck Mr. B, who was sixty- seven years old and was taken to the Emergency Department (ED) of a sixty bed rural hospital. Mr. B complained to Nurse J of rigorous pain in his hip and left leg after he lost his balance and fell after tripping over his dog. The ED physician and nurse after thorough medical check up treated Mr. B. However, within thirteen minutes of the treatment procedure, Mr. B's health started deteriorating. He was kept on ventilator and was ...

Abstract

This discussion explains how through cloud computing, the process of data mining is facilitated. Through data mining, information that is potentially useful can be retrieved from raw data. People often face the need for targeted advertising, whereby data mining techniques give businesses greater efficiency, hence helping to lower costs. In the sector of cloud computing, data mining has become of great importance. The facilitation of data mining through cloud computing will enable users to obtain useful information viaa virtual warehouse of integrated data, helping to lower expenses of storage, technical staff, and purchase of infrastructure. Key terms: Data ...

Executive Summary

Accident investigation is aimed to determine the root causes of the accident, to estimate its cost effects, and also to comply to government safety regulations. Safety practitioners have to use a scientific method for this. There are five simple steps in accident investigation: (1) collecting information, (2) reviewing information, (3) determining the causes, (4) recommending actions, and (5) evaluating the effectiveness of the actions. It starts with collection of evidence to analyze the problem better. Data is reviewed for authenticity and for differences. Determining the causes is best performed using the root cause analysis (RCA). Root cause analysis integrates using ...

[Insert Student’s Name] [Insert Date] In any healthcare facility, like hospital or clinic, there are some kinds of risks related to patients, hospital staff, or the whole organization working in the healthcare industry. Therefore, like in any kind of organization, here too, is the need of risk management. Risk management staff, and risk managers are responsible for the assessments of currently prevailing risks along with the development and implementation of the plan to minimize the risks within the industry. The idea is to investigate any possible risks associated with the health of patients, provide clear job ...

Introduction

Nurses are responsible for delivering quality health care services that are acceptable to the patients. Since patient expectations and standards change frequently, quality improvement is an important part of nursing practice. The aim of quality improvement (QI) is to improve service level and promote patient outcomes. This paper is a quality improvement project that focuses on preventing falls in the mental health unit. Falls are an inherent risk for psychiatric patients such especially those with eating disorders. The objective of this paper is to improve quality of health care services by reducing falls in the mental health unit among patient ...

A sentinel event refers to an unexpected occurrence that involves a serious physical, psychological or death. Serious injury includes the loss of a limb. It may also include the risk thereof. The phrase “the risk thereof” may include any process variation for which the recurrence may carry a significant chance may bring an adverse outcomes (Joint Commission Resources, pg. 14). The events have the name sentinel because they deserve immediate investigation and action. Identification of sentinel events is important because it helps in root cause analysis. It is important in the development of preventative measures. The Joint Commission makes it a requirement for ...

Root cause analysis is problem solving approach that is used in many fields. It is mainly used in areas that are more technological and involve machine use such as engineering and even finance. However with the need for better problem solving methods, other professional areas have adapted this system in streamlining their operations. The medical field is one of the fields that have adopted this approach to ensure that there is quality service delivery. It is a problem solving method that focuses on finding the main cause of a problem and analyzing why the problem happened (Nicolini, Warin, & Mengis, 2011). ...

Introduction

Over the past five decades, there has been a systematic gradual change in the health centers section. Theses dynamics have necessitated for large health companies to form a quality management plan aimed at increasing patient safety through the provision of transformations governed by high performance, answerability, and discipline. The National Center for Patient Safety has not been left behind in this movement directed towards the improvement of patient safety through the Department of Veterans Affairs. The Veterans Health Administration is a component of the United States National Center for Patient Safety helping over 5.8 million patients in more than 1,400 health ...

Operations Management

A. Analysis of the Book Concepts

1. Application of the Theory of Constraints As I had been working for financial institutions for the past 15 years, I am going to discuss the problems that are typical for banking industry. In 2007, the Capital One Bank jettisoned its mortgage platform in respond to the mortgage crisis pressures. However, investors were pressed too proving the main concept of theory of constraints: when one element of the system is improved, the other is in the constraint. The main constraints in this situation are the lack of financial resources required to ...

Introduction

Many organizations face numerous management and technical issues. Laboratory is the most vital part of a medical organization’s system because it deals with life. This is to mean that any kind of mistake can lead to massive negative effects in both the outcomes of the procedures, and also in the systems. This essay will discuss two types of problems that one may encounter in a laboratory environment; the first issue will involve management processes, and mainly the issue of staff shortage. The other problem that the paper will look at will involve Hyperkalaemia, which is a common technical problem, commonly faced ...