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C489 Task 2. edited.docx C489 C489 Organizational Systems and Quality Leadership SAT Ta

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C489 Task 2. edited.docx C489 C489 Organizational Systems and Quality Leadership SAT Task 2 Western Governors University Organizational Systems and Quality Leadership SAT Task 2 A. Root Cause An... alysis The Institute for Healthcare Improvement (IHI) has identified a Root Cause Analysis (RCA) as a systematic approach to determine causative factors and identify system flaws that can be corrected to prevent adverse events. (Institute for Healthcare Improvement, n.d.). The RCA is a retrospective approach that focuses on system causes rather than blaming others by considering all contributing factors within the work environment that led to the event. The focus is to identify system flaws to prevent future adverse events. (Institute for Healthcare Improvement, n.d.). A1. RCA Steps The Root Cause Analysis team is from all organizational levels who have a fundamental knowledge of the processes and issues involved. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [Show More]

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