Order Instructions

Complete an RCA on Advancing Patient Safety Through Effective Hand Hygiene Practices:

For example, you may review the specific cases at https://www.rmf.harvard.edu/Risk-Prevention-and-Education/Case-Study-Catalog-PageLinks to an external site. dealing with adverse events. The cases provided, if they directly relate to your chosen issue, may be used as the basis for performing a Root Cause Analysis for this assignment. Your analysis should, at a minimum, include the following elements:

• Clear identification of the event (real or hypothetical)

• Identification of all causes (all parts required to cause the event)

• Validation of causes using scholarly evidence

• Identification of possible solutions

• Identification of the best solution, including the process to be used in implementing

Follow current APA style guidelines. You must also include a table or chart (e.g. cause and effect diagram as described in the Mindtools resource or the document on how to complete a root cause analysis) within your RCA to demonstrate the process of identifying the root cause.

Course Outcomes:

2. Describe how human factors are integral to proactive risk management.

4. Identify the risks to patient safety and healthcare quality.

Learning Objectives:

1. Identify the root causes of a significant error in healthcare delivery, which may include physical, human, and/or organizational causes.

2. Analyze potential methods to eliminate