1. A nurse is conducting a root cause analysis (RCA) of a
medication error that occurred in her unit. She interviews
the staff involved, reviews the incident report, and
examines the medication administration process. What is
the next step in the RCA?
a) Identify the contributing factors and root causes of the
error
b) Develop an action plan to prevent similar errors in the
future
c) Implement the action plan and monitor its effectiveness
d) Communicate the findings and recommendations to the
stakeholders
*Answer: a) Identify the contributing factors and root
causes of the error
Rationale: The RCA is a systematic method of identifying
the underlying causes of an adverse event and developing
strategies to prevent recurrence. The steps of the RCA are:
1) Define the problem and gather data, 2) Identify the
contributing factors and root causes, 3) Develop an action
plan, 4) Implement the action plan and monitor its
effectiveness, and 5) Communicate the findings and
recommendations.*
2. A nurse is leading a quality improvement (QI) project to
reduce catheter-associated urinary tract infections
(CAUTIs) in her unit. She uses the Plan-Do-Study-Act
(PDSA) cycle as a framework for implementing changes.
She has already planned a change (using a checklist for
catheter insertion and maintenance), done the change
Category | NURS EXAM |
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