Proximate cause

Organizational Systems and Quality Leadership Task 2 A. Root Cause Analysis What is a root cause analysis (RCA)? It is a way to understand errors; why they happen, what caused them and how can we stop this error from happening again. Hospitals can use RCA to understands sentinel events. When applied successfully, RCA is an effective system- and team-oriented approach to learning from failures and triggering improvement, Ogrinc, G and Huber, S (2010). The next steps after the event are to set up…

sentinel events. Root cause analysis (RCA) is a systematic approach to investigating sentinel events used by institutions accredited by the Joint Commission. Once this process helps to identify the causes of the event and a plan to correct the causes, the failure mode and effects analysis (FMEA) is used to identify and decrease the ways the plan could fail. The task analyses these processes and the professional nurse’s role as a leader in the promotion of quality care. A. Root Cause Analysis …

In the novel Frankenstein, and the two poems of "Miss Brill" and "To Jane: The Recollection", nature exposes itself as a healer for the individual, whose beauty restores their happiness and tranquility. Through the serenity and peaceful scenery depicted through the imagery in nature, the individual is cleansed and purified of their grief. This is shown many times throughout Frankenstein, allowing the individual to help himself or herself after a horrific event and find calm in nature. This is…

show a more adolescent side of him struggling to take action. Hamlet’s soliloquies are great tools to peer into what Hamlet is really thinking. In his second soliloquy, Hamlet calls himself a “dull and muddy-mettled rascal” who is “unpregnant” of cause for revenge of “a king upon whose property and most dear life a damned defeat was made” (2. ii. 525-530). His self-loathing…

employment principle, each IDS sensor will be tuned one at a time in order to control the amount of alerts as the system is introduced to the network. The network and systems team must be consulted so that the introduction of the system does not cause an interruption in service based on their use of the system. This will assist in stopping false positives due to timed processes and system updates. 3 All system alerts should be routed directly to the Computer Security Incident Response Team…

An RCA is the main tool used by hospitals when investigating the cause of an error in healthcare. The Joint Commission requires a root cause analysis to be performed on every sentinel event like the one experienced by Mr. B in the given scenario. A sentinel event is an adverse event in health care delivery or other service, which either leads to or has potential to lead to catastrophic outcomes (for example, near miss), thereby often mandating initiation of emergency intervention or of…

some free time. This upset my girlfriend, who lives with me, and she essentially stated that she didn’t want me to go with him. At first I was confused and angry at the fact she stated this, however, before this matter escalated I decided to use Root Cause Analysis (RCA) to establish what the actual problem was. I broke it down first into three things. 1. What happened? - An argument 2. Why? - Because I was going out with my brother and not seeing her. 3. How to make it not happen anymore -…

Root Cause Case Study Analysis – Milestone Two Michelle Norwood Southern New Hampshire University The Engstrom auto mirror plant was beset by various organization issues previously discussed in the introduction of this case study. Some of those key organizational issues included a lack of trust between employees/employer, a lack of employee motivation/morale, and a decrease in comradery among employees (Beer & Collins, 2008). These organizational issues were all centrally rooted around…

‘Public health is everyone’s business’ illustrates Jones (2012, p.2). The Faculty of Public Health regard public health as a combination of health protection, health advancement and promoting health (Griffiths and Dark, 2006 cited in Jones p.6 2012). For part 1 of this assignment, public health in context aims to set the scene and illustrate the challenges. Health inequalities arising in society will be addresed and critically evaluated using the Marmot Review and the associated policy…

Susie V. Tommy Negligence To prove negligence, the defendant must owe a duty to the plaintiff, that duty must be breached, and the defendant’s actions or inactions were the cause of the plaintiff’s injury. Duty Duty is the legal obligation required of an individual to act as a reasonable prudent person under similar circumstances. Drivers are required to act with reasonable care when encountering other vehicles and pedestrians. Tommy was the driver of the vehicle and Susie was a pedestrian.…