Organizational Systems and Quality Leadership SAT Task 2 A. Root Cause Analysis In 1996, the Joint Commission adopted a sentinel event policy which requires accredited organizations to perform a Root Cause Analysis (RCA) after a sentinel event occurs. An RCA is a systematic approach used to analyze serious adverse events and to identify both active and latent errors. The general purpose of conducting an RCA is to identify the cause of a serious event by looking the sequence of events that lead to the error and prevent future occurrences of the event by establishing a process to prevent the errors that lead up to the sentinel event (PSNet, 2019). This process takes the blame off an individual and looks at system barriers that contributed
The post C489 organizational systems and quality leadership sat task 2 appeared first on Perfect papers hoth.
