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Root Cause Analysis and Quality Improvement in Healthcare: Addressing Never Events

This paper discusses root cause analysis and strategies for quality improvement in healthcare, focusing on preventing never events.

Ethan Wilson
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Root Cause Analysis and Quality Improvement in Healthcare: AddressingNever EventsConduct aRoot Cause Analysis (RCA)of anever eventin a healthcare setting, focusing onidentifying system failures and human errors that contributed to the adverse outcome. UsingKurt Lewin’s Change Management Theory, propose animprovement planto prevent similarincidents in the future. Additionally, applyFailure Modes and Effects Analysis (FMEA)toassess the risks associated with the current process and recommend improvements.Your response should be1,500–2,000 wordsand must include:•A detailedRoot Cause Analysis (RCA)identifying key contributing factors.•An explanation oferrors or hazardsthat led to the event.•A structuredimprovement planbased on Lewin’s Change Management Theory.•An application ofFailure Modes and Effects Analysis (FMEA)to evaluate risks andsuggest process improvements.•Proper citations and references followingAPA format.

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Healthcare

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