Wgu Organizational Trends Essay
A. A complete root cause analysis (RCA) that incorporates the causative factors, errors, and hazards that led to the patient’s outcome or sentinel event.
Sentinel event refers to the occurrence of serious physical illness or death or psychological injury or even those incidences whose recurrence involves risks with adverse and serious outcomes. It may result into deaths that are not anticipated or permanent loss of a major function that is not associated with patient’s natural cause of illness or condition (Lewis et al, 2014). The causative factors of Mr. B’s demise, according to the scenario described are that Mr. B was not put on oxygen or an EKG monitor …show more content…
1. Discussion on a change theory that can be employed to implement the process improvement plan developed in B above
A change theory to the developed action plan in B above should have 3 steps such as the three-stage model of change that is known as the unfreezing-change-refreeze model that requires prior learning to be rejected and replaced. This is known as the Lewin Change Theory.
Step one is known as unfreezing, this is the process which involves finding a method of making it possible for people to let go of an old way of doing things and being open to new ideas or ways