Root analysis and safety improvement plan
Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA.
Provide an analysis of the event and relevant findings.
Application of Evidence-Based Strategies
Identity best practices strategies to address the safety issue or sentinel event.
Describe what the literature states about the factors that lead to the safety issue.
For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.
Explain how the strategies could be addressed in safety issues or sentinel events.
Improvement Plan with Evidence-Based and Best-Practice Strategies
Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place.
Existing Organizational Resources
Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.
A brief note on resources that may need to be obtained for the success of the plan.
Consider what existing resources may be leveraged to enhance the improvement plan?
