If following the recommendations of the Joint Commission, the RCA for Mr. B’s care would include 24 questions about the scenario and then after answering and filling in the data each would be identified as a root cause or not. For the intention of this paper, and considering lack of essential data with this scenario, the paper will just move in sequence order of events as presented. First thing to take into consideration is Mr. B’s vital signs, physical assessment, and previous health history. The given information appears accurate and within normal limits. However a height is not document or reported, which might make it more difficult to determine if the drug dosages were appropriate for his BMI (body max index). Many drugs are dosed
