Root cause

(Vesely 2002). Fault tree analysis is a risk assessment approach in which a top event is defined and then further exploration of the subsequent cause events is done until the base events are determined to finish with the process. Fault tree analysis(FTA) is a systematic and logical approach which help to define the relationship between each subsequent causes and base events that lead to occurrence of top even and an individual can have a fair understanding of the logical relationship that are…

couldn’t process driver’s licenses and couldn’t share data with other agencies. (1) DMV has been unable to process in-person driver’s licenses or ID cards at its 74 customer service centers. The root cause of the failure was identified as the memory card of the EMC DMX-3 SAN array. Even though the primary cause of the failure was the SAN array, the database…

1. Define Sentinel Event and give an example. An event that has adverse consequences to patients e.g. wrong site surgery or adverse reaction to a medication. A root cause analysis has to be done and reported to whoever is running the hospital. 2. When should medication reconciliation occur? Who is the primary person responsible for medication reconciliation at your site? On arrival at the ER. When there is a transition in the care on the floor Into and out of surgery Pharmacy technician in…

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…

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…

heard, it can cause tension. Minor problems can escalate into big problems if not handled properly. There is an opportunity to harness disagreements into opportunities and reach an innovative solution to the conflict. Courter (2010) discusses that one important aim should be, if possible, is to separate the issue from the causes. In a society to effectively address conflict and bring them to a positive conclusion conducting a root cause analysis is often most effective. Root causes analysis…

Over the past several years, asthma has become more commonly diagnosed. There are many different causes for asthma and the need for more research to understand the root causes of asthma such as, genetic and environmental. The study that I choose for this discussion board was interesting because it focused on vitamin D deficiency and control of asthma in women. This study states that there has been a higher amount of women who have been admitted to the hospital for asthma-related illnesses and…

Use of Root Cause Analysis to Prevent Falls and Promote Patient Safety in Clinical Rehabilitation Introduction This study was performed to explore the root causes of patient falls by applying Root Cause Analysis and determine the implement procedures to prevent them. The author conducted root cause analysis retrospectively using comprehensive error review to determine and correct the causes of errors in the department of Physical medicine…

body fat”. It’s important to note that obesity is not the same thing as being overweight. The root causes of obesity are the effortless ways of obtaining fast food as opposed to cooking from home, extremely cheap fast food, and inactive lifestyles; however, this disease can be cured and there are preventative measures that can be taken to avoid getting to that point. How Obesity Came To Be Defining the root of the problem, in this case, is not easy. There are several things that factor into the…

and reasons that people migrate . One push factor that pushed a lot of people out of their native country is violence and war I am fro this because people just wants the best for themself and their family .. Evidence to support this comes Roots Causes of Migration article…