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SAT 1 TASK 2 C489 (1)

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• SAT1 — SAT TASK 2: RCA AND FMEA ORGANIZATIONAL SYSTEMS AND QUALITY LEADERSHIP — C489 PRFA — SAT1 TASK OVERVIEWSUBMISSIONSSCORE REPORTS • Competencies • Introduction • Scenario • Requirements • Rubric • Web Links • Supporting Documents COMPETENCIES 734.3.1 : Principles of Leadership The graduate applies principles of leadership to promote high-quality healthcare in a variety of settings through the application of sound leadership principles. 734.3.2 : Interdisciplinary Collaboration The graduate applies theoretical principles necessary for effective participation in an interdisciplinary team. 734.3.3 : Quality and Patient Safety The graduate applies quality improvement processes intended to achieve optimal healthcare outcomes, contributing to and supporting a culture of safety. INTRODUCTION Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event, such as the one described in the scenario attached below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident. SCENARIO It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency depart ...
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