- Review the following website links from the Department of Health and Human Services r/t Root Cause Analysis, Adverse Events, and Never Events.
- Root cause analysis is a method mandated by Joint Commission to promote safe patient care by identifying situations or behaviors in health care that increase the incidence of error
- Post on the Discussion Board MODULE 6B explaining how this process can be used to eliminate or mitigate error in health care.
- “Never Events” terminology – Joint Commission requires nurses to know and act upon this. You may have this content on NCLEX-RN.
- Incorporate the connection between “Never Events” and RCA in the assignment
ROOT CAUSE ANALYSIS
https://psnet.ahrq.gov/primers/primer/10/root-cause-analysis (Links to an external site.)
ADVERSE EVENTS & NEAR MISSES
https://psnet.ahrq.gov/primers/primer/34/adverse-events-near-misses-and-errors (Links to an external site.)
NEVER EVENTS
https://psnet.ahrq.gov/primers/primer/3/never-events
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