Root Cause Analysis

Through this assignment, you will engage in a quality improvement activity by analyzing an
identified healthcare error or problem. You will demonstrate your ability to effectively
communicate your analyses through scholarly writing as a mechanism for enhancing quality
nursing care and improving health outcomes.
Part 1: Discussion/Position
Identify the Problem you want to analyze. Respond to the following:
1. Briefly identify the nature of the problem you are planning to discuss. For example:
a. medication error; patient falls incidents, ED wait times, etc. This problem can be
real from your own experience, something you observed, or an issue described in
an article or news event.
2. List the people involved in the issue. For example:
a. RN #1; 80 yo female patient; patient’s son, etc.
3. Describe the details of the situation you will be analyzing. Try to provide as much detail
as possible.
Part 2: Evidence-based Practice and APA Formatting of References
Identify appropriate research and supply the references intended to be used for this paper using
APA format.
● You will create an annotated bibliography of your source articles.
● You must submit PDF files of each of your source articles.
● A minimum of 5 sources are required. Three (3) must be journal articles.
● Articles should be from peer-reviewed journals and no older than 5 years (2015) unless
approved by the instructor prior to submission of the reference list.
● All source articles must be authored by nurses or include nurses in the list of authors.
NOTE: currency of your sources should reflect the most recent evidence relevant to your topic.
For instance, sources from 2015 for CLABSI or CAUTI are likely to be out-of-date, and not
reflective of best evidence.
Part 3: Final Paper
Write a 6-8 page (excluding cover sheet and reference page) scholarly paper following APA
guidelines, 7th edition. The paper must include a cover sheet, reference page, and a diagram
of your root cause analysis incorporated into the body of the paper.
NOTE: Points will be deducted for not meeting the minimum or exceeding the maximum page
Analyze the problem using the tools and resources provided in this module.
Prior to final submission, you will submit your paper for review to, and incorporate the
tutor’s recommendations into your final paper.

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