Root Cause and Analysis

Explain why a root cause analysis was appropriate for this situation
A root cause analysis was appropriate for this particular situation in order to realize particularly what went wrong and the suitable way of fixing it. Imperatively, root cause analyses are utilized when sentry or adverse occurrences take place in the healthcare sector, post event. Basically, an assessment team is sent off, through the use of a toolbox approach with numerous approaches such as Fault-Tree-Analysis, Pareto Analysis, as well as brainstorming with the main objective of ascertaining the root or causes of the mistake or failure. The state of affairs is split into different steps and every one of them is comprehensively analyzed to determine the error or risks in within processes, human aspects and also equipment. These phases include the following:
1. Ascertain the incident to be analyzed
2. Form a team to be responsible for conducting the RCA
3. Examine properly the work processes
4. Gather the facts
5. Look for causes
6. Take action
7. Evaluate the actions taken (Charles et al., 2016).
Analyze the impact of using tools like RCA, FMEA, and PDSA on the quality and safety of patient care
The use of Root Cause Analysis (RCA) as a tool on the quality and safety of patient care has significant impact. RCA makes it possible to examine incidents of patient quality and care so as to help in identifying any failures within the health care system that might not be instantaneously perceptible at an initial appraisal. RCA makes it possible to ascertain system issues that gave rise to the incident taking place and to offer suggestions on actions to be taken to preclude or alleviate the recurrence of such incidences (Johnson et al., 2018). The Plan-Do-Study-Act (PDSA) is utilized to carry out initiatives and enhance them in the process. It can be a fast paced process steering new processes, whereas investigating the outcomes and making modifications along the way instigating the PDSA cycle. The impact of using PDSA on quality and safety of patient care is that it enables achievement of the purposed goals and interventions generating opportunity to make changes early on in the process. With respect to patient safety, the PDSA tool can be efficacious in a huge way. The one primary principle of the healthcare industry, which is in fact universally agreed, is to “first, do no harm” to guarantee the safety and care of the persons that are both sick and in need. By carrying out an approach such as PDSA in the health care patient safety protocols, it is possible to continue fostering this simple ideal of human safety and preservation (Johnson et al., 2018). Third, Failure Models and Effects Analysis (FMEA) it employed by organizations to evade disastrous occurrences with an objective of enhancing and maintaining the quality of care. Specifically, this tool is utilized to ascertain potential areas of failure where preemptive techniques and methodologies are applied to pinpoint and are applied to pinpoint and preclude procedures or product blunders prior to any adverse event on patient quality and care takes place (Johnson et al., 2018).
References
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., ... & Hake, M. E. (2016). How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient safety in surgery, 10(1), 20.
Johnson, A., Clay-Williams, R., & Lane, P. (2018). Framework for better care: reconciling approaches to patient safety and quality. Australian Health Review.