Multifactorial Medication Mishap RCA

Assignment Content

https://psnet.ahrq.gov/webmm/case/314/multifactori…

1. 
   Read the
   Multifactorial Medication Mishap case study and the commentary that follows.
   
   

2. 
   Complete the
   root cause analysis worksheet to analyze the case
   
   
3. 
   Write a 525 word-summary in which you:

   • Explain why a root cause analysis was appropriate for this situation.
   • Analyze the impact of using tools like RCA, FMEA, and PDSA on the quality and safety of patient care. (YOU MAY CHOOSE THE TOOLS YOU LIKE TO USE)

   Cite a minimum of two peer-reviewed or evidence-based sources published within the last five years to support your summary in an APA-formatted reference page.

   
   

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