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Root Cause Analysis

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Running head: ROOT CAUSE ANALYSIS 1 Root Cause Analysis Name Institution Date ROOT CAUSE ANALYSIS 2 Introduction When there is a problem, the right decision is not rushing to rectify the situation. The rush will only cure the symptoms and not solve the problem entirely. An in-depth investigation ought to be carried out. Without doing this, the problem has a high chance of re-occurring. It is easy to blame people who did not make the mistakes with an evil intention. The management should always carry out a Root Cause Analysis (RCA) to make sure the problem is entirely solved. The process of RCA helps a person to identify the primary reasons why the problem occurred. The Problem In regards to this case study, the patient's health deteriorated due to an overdose of vasopressin during his treatment. While performing medical procedures, an error is likely to occur (Scott et al., 2005). There are many steps and many practitioners involved in administering a cure. And, if one medic makes a mistake, there is a significant chance the error will occur in the following procedures of treatment. For this patient to get some justice, the management had to start an RCA get to the bottom of the issue. In medical institutions, errors occur from time to time. Many facilities which have the human desire always to improve, they do so by devoting more resources to ensure there will not be a repeat of a similar issue. For instance, the case study represents an excellent opportunity to addres ...
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