Summary NURS FPX4020 Assessment 2.docx NURS-FPX 4020 Root-Cause Analysis and Safety Improvement Plan Caplella University NURS-FPX 4020 Root-Cause Analysis and Safety Improvement Plan Root-Cause Analysis Root-Cause analysis is a problem-solving technique

NURS FPX4020 Assessment NURS-FPX 4020 Root-Cause Analysis and Safety Improvement Plan Caplella University NURS-FPX 4020 Root-Cause Analysis and Safety Improvement Plan Root-Cause Analysis Root-Cause analysis is a problem-solving technique that aims to uncover the root cause of an issue, for it to be more understood and avoided in the future. When using the root-cause analysis (RCA) approach, issues related to patient safety can be explored in detail. Thomas and Zoe Quaid were twins being treated for a staph infection in a hospital s pediatric department in November of 2007. The twins were given a dose of Heparin that was 1,000 times stronger than what was supposed to administered. While they survived and were eventually reunited with their parents, this sentinel event is one that could have been potentially fatal. €œAn adverse drug event (ADE) is an injury resulting from medical intervention related to