Signature Assignment: Root Cause Analysis PowerPoint or Padlet Assignment Based on a Sentinel Event Case Study

SPEAKER NOTES NOT REQUIREDTITLE SLIDE AND REFERENCE SLIDE SHOULD NOT BE COUNTED IN SLIDE COUNT.
Instructor notes: Please read the following articles and watch the video about the RaDonda Vaught Case. Then continue to do your own research on the aspects of this case directly related to nursing responsiblity and legalities. I encourage you to spend considerable time researching this case more in-depth outside of the provided resources here.PROMPTS:1-Explain what a Root Cause Analysis is and the purpose of using one for your facility.2-What were the major issues and contributing factors that led to the incident in the RaDonda Vaught Case? What occurred based on facts shared in these resources? A-Please include all details surrounding. this case. Explain the situation and causes. Speak to issues that may have led to distraction, protection of the hospital, nursing responsibilities, and anything else you feel is pertinent. to share about this.3-What, how, and why did this incident occur?4-What was this nurse charged with? Do you think this was fair after completing your research?5-What are opportunities and/or plans of improvement to prevent similar situations in happen in the future? Identify the best evidence(s) to support policy development related to this issue.6-Please also share your feelings and concerns as a result of studying this particular case. How can you better protect your patients and yourself?7-Create a safe medication administration flyer or announcement to display in your facility. Please include a picture of your flyer or announcement to include in this presentation.

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