Sat - Task 2:rca And Fmea Western Governors University

C489: SAT TASK 2 - C489 - RCA and FMEA 1Organizational Systems and Quality LeadershipSAT - Task 2: RCA and FMEA Western Governors UniversityNicki NeffC489: SAT TASK 2 - C489 - RCA and FMEA 2A. A root cause analysis (RCA) is a systematic approach to understanding the causes of an adverse event and identifying system flaws that can be corrected to prevent the error from happening again. Laying events out in chronological order and focusing on system causes, ratherthan blame, is the central feature of root cause analysis. RCAs are retrospective; they look back at the error that occurred. (IHI 2020).There are six steps to RCAs are as follows:Step 1. Identify what happened.Step 2. Determine what should have happened.Step 3. Determine causes. (Ask why five times)Step 4. Develop causal statements.Step 5. Generate a list of recommended actions to prevent the recurrence of the event.Step 6. Write a summary and share it. (IHI 2020)RCA for case scenario Mr. B:Step 1. Identify what happened. Mr. B, 67 years old, arrives at the ER with complaints of severe left leg and hip pain after tripping over his dog. After assessment from the physician, and within a ten minute time frame, Mr. B receives