This assignment is the second part of a series of assignments related to your final course immersion project. The first part of the assignment series was choosing an appropriate topic. The Root Cause Analysis (RCA) assignment

This assignment is the second part of a series of assignments related to your final course immersion project. The first part of the assignment series was choosing an appropriate topic. The Root Cause Analysis (RCA) assignment begins in Module 2 but is due at the end of Module 3. The goal of this paper is to apply the principles of the Root Cause Analysis to a problem or opportunity for improvement in your workplace. This assignment requires systems thinking and problem solving by identifying contributing factors or root causes to an adverse event without assigning blame to individuals.
This assignment is the second part of a series of assignments related to your final course immersion project. The first part of the assignment series was choosing an appropriate topic. The Root Cause Analysis (RCA) assignment begins in Module 2 but is due at the end of Module 3. The goal of this paper is to apply the principles of the Root Cause Analysis to a problem or opportunity for improvement in your workplace. This assignment requires systems thinking and problem solving by identifying contributing factors or root causes to an adverse event without assigning blame to individuals. Guidelines Briefly present the situation, error/adverse event or case study. This is the “what happened?” portion of the RCA. Do not include any organizational, patient or staff identifiers. Be sure to include the impact on the patient, family and staff involved. This should be 1-2 paragraphs. Next, present “why did it happen?” portion of the RCA. Identify all the potential contributing factors to the incident. This will be the bulk of your paper. Include a Cause & Effect Diagram (Fishbone Diagram) to illustrate the contributing factors to the adverse event. Include the Fishbone Diagram as an embedded image or appendix in your paper. Fishbone Diagram Template The paper must be in APA format with a title page. Maximum 4 pages in length (excluding title page, references & appendix with diagram