Assessment 2: Root Cause Analysis and Safety Improvement PlanĀ
Root Cause Analysis and Safety Improvement Plan Root Cause Analysis (RCA) serves as an effective methodology for identifying factors contributing to patient safety risks. The healthcare organization under consideration has witnessed a notable prevalence of medication administration issues and adverse events, highlighting the critical importance of patient safety. RCA plays a pivotal role in mitigating preventable adverse events, enhancing patient safety measures, and fostering learning and quality improvements within healthcare settings. Notably, medication errors, particularly in administration, rank as the eighth leading cause of death in the USA. Numerous studies underscore medication administration errors (MAEs) as prominent contributors to patient safety risks in acute care settings, leading to prolonged hospital stays (Samsiah et al., 2020). This review specifically delves into the root causes of drug administration errors in the diabetic ward, focusing on evidence-based safety improvement strategies and organizational interventions to bolster patient safety. Analysis of the Root Cause Mr. Wallace's experience in the diabetes ward reflects various root causes of medication administration errors. Factors discussed in Assessment 1 include inadequate training, deviation from medication administration guidelines, insufficient work experience, interruptions during administration, communication inefficiencies, lack of knowledge, and human factors contributing to errors impacting patient safety (Ulrich et al., 2022; Schroers et al., 2020; Wondmieneh et al., 2020). Studies reveal a positive correlation between nursing staff experience and the quality of