Medical Analysis Sheet Discussion Paper
Root Cause Analysis Worksheet NSG/468 Version 1 1 University of Phoenix Material Medication Mishap Root Cause Analysis Worksheet Complete the table below to analyze the Week 4 case study. The analysis questions in the table have been adapted from The Joint Commission’s Root Cause Analysis and Action Plan Framework you reviewed in this week’s learning activity. Medical Analysis Sheet Discussion Paper
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Considerations Root Cause Analysis Findings Root Cause (Y/N) What was the intended process flow? List the relevant process steps as defined by the policy, procedure, protocol, or guidelines in effect at the time of the event. The intended process flow was that the physician be the first person to recommend the medication, the pharmacist to review the ordered dose and send his report to the nurse who should then inject the patient with the dose. N Were there any steps in the process that did not occur as intended? Medical Analysis Sheet Discussion Paper