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organizationaltask2.docx Organizational Systems and Quality Leadership SAT Task 2 Wes

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organizationaltask2.docx Organizational Systems and Quality Leadership SAT Task 2 Western Governors University A. Root Cause Analysis According to Center for Medicare and Medicaid services �... �root cause analysis is a structured facilitated team process to identify root causes of an event that resulted in an undesired outcome and develop corrective actions  (CMS, n.d). The process of conducting a root cause analysis provides insight to potential gaps or breakdowns in the system that may have led to an undesired outcome. By identifying these gaps or breakdowns changes can be made in policy or processes to prevent future occurrences. A1. RCA Steps According to IHI, there are six steps to conduct a root cause analysis. Step one includes identifying what has happened. This is accomplished by describing accurately and entirely the event in an organized manner. Next is to determine what should have happen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [Show More]

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