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ASSESSMENT 2 SAMPLE (1)

ASSESSMENT 2 SAMPLE (1)

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Running head: ROOT-CAUSE ANALYSIS AND IMPROVEMENT PLAN Root-Cause Analysis and Improvement Plan Learner’s Name Capella University Improving Quality of Care and Patient Safety Root-Cause Analysis and Improvement Plan March, 2019 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. 1 ROOT-CAUSE ANALYSIS AND IMPROVEMENT PLAN 2 Root-Cause Analysis and Improvement Plan According to Spath (2011), root-cause analysis is a methodical approach that aims to discover the causes of adverse events and near misses for the purpose of identifying preventive measures (as cited in Charles et al., 2016). A root-cause analysis of falls in geropsychiatric patients was conducted at an inpatient mental health unit. The paper describes and analyzes falls and discusses evidence-based strategies to reduce falls and determine a safety improvement plan based on the utilization of existing organizational resources to address these falls. Root-Cause Analysis of Falls in Geropsychiatric Inpatients According to Murphy, Xu, and Kochanek (2013), the Centers for Disease Control and Prevention reported that falls were a leading cause of unintentional injury death in adults aged 65 and above (as cited in Powell-Cope et al., 2014). Fall-related injuries that can lead to serious head trauma are common among older adults. Injury falls are serious and could lead to fractures, head injury, and intracranial bleed. According to the National Quality Forum (2011), injury fa ...
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