What is the main purpose of root cause analysis after a serious patient-safety incident?
Correct answer: A. Identify system factors that allowed the event
- A. Identify system factors that allowed the event
- B. Find one staff member to punish for the event
- C. Prove that the patient caused the event
- D. Determine which nurse should pay for the loss
Explanation
Root cause analysis examines contributing system factors such as staffing, communication, training, equipment and procedures. Its purpose is prevention and system improvement, not assigning blame to one individual.
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About Quality and Patient Safety
Quality and patient safety include standards of care, quality assurance, continuous quality improvement, audits, indicators and patient feedback. The subject also covers medication errors, falls, infections, communication failures, incident reporting, root cause analysis and preventive actions, distinguishing system improvement from assigning blame to an individual.
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