Health Care Organizations And Risk Managers Essays

1151 Words Mar 15th, 2015 5 Pages
Introduction. Health care organizations are capitalizing on the root cause analysis (RCA) route to determine the focal cause of adverse events within their facilities. First developed as a tool used in the engineering sector, RCAs have been extended to health care in many ways and have proved to be highly effective in improving facility performance and safety. This paper provides a more in-depth look into RCAs while also showing one particular case study. RCA defined. The World Health Organization (2012) characterizes an RCA as a process that explores and identifies possible factors correlating to an incident by asking questions such as, "What occurred?", "Why it occurred?", and "How can it be prevented?". Health care organizations and risk managers typically conduct an RCA following an incident of an adverse--or sentinel--event, such as a fatality or life-threatening occurrence. For instance, after surgery, a patient complains of a minor itch on her arms and legs. Overnight, the symptoms worsen and the itch spreads throughout her body. The overnight hospital staff fails to realize the patient had an allergic reaction to a medicine used during her surgery. The risk management team decides to generate an RCA to assess the event and recommends solutions to prevent situations like these from escalating in the future. To sum it all up, an incident occurred and increased in risk, creating the need to investigate and resolve. A multitude of events can trigger the use of an RCA,…

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