Root cause case study

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Follow CompassforSbc. A root cause analysis is a process used to identify the primary source of a problem. In social and behavior change communication SBCC , a root cause analysis is used to examine why there is a difference between the desired state of a health or social issue vision and what is happening now current situation. A root cause analysis helps to identify the challenges a program should address to reach its vision. SBCC strategies that only address the obvious or most visible aspects of a problem are not likely to succeed.

— BEN BLOCK —

Root Cause Analysis Case Study Essay - Words

Root cause analysis RCA has been used widely as a means to understand factors contributing to medication errors and to move beyond blame of an individual to identify system factors that contribute to these errors. Nursing schools respond to student medication errors seriously, and many choose to discipline the student without taking into consideration both personal and system factors. The purpose of this article is to present a case study that highlights an undergraduate nursing student medication error and the application of an RCA. The use of this method was a direct result of our nursing program implementation of the Quality and Safety Education for Nurses competencies. The RCA included a critical evaluation of the incident and a review of the literature. Factors identified were environmental, personal, unit communication and culture, and education.

Root-Cause Analysis and Safety Improvement Plan | Get Solution Now

A Root Cause Analysis RCA for Engstrom will be performed to figure out the underlying factors of the issues they are having and how to fix the problem. RCA will find the origin of the problem using a specific set of steps so that I would be able to find out what could be done to reduce the likelihood that the problem will happen again. Since RCA assumes that systems and events are interrelated a problem in one area prompts an effect in another Mind Tools, Employees were laid off in , the cause, decreased sales due to economic downturn in By , another major problem: decreasing plant productivity and product quality, which lead to their financial problems.
This article provides an example of how a simple tool, the 5 Whys , was used to unearth an assumption embedded in a business process. Once the assumption was revealed and tested with data, impressive results ensued. The 5 Whys is an iterative question-asking technique to identify the root cause underlying a particular symptom.
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