Conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail.

Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event such as the one described below.

Once the cause is identified and a plan of action established, it is useful to Conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail.

As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident.


 

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