In this written assignment, you will explore a patient incident using root cause analysis.

Step 1 Read the scenario.

Step 2 Complete the chart.

You have been charged with leading the interprofessional team that will investigate Mr. Jones’s issue. Your analysis should focus on systems and processes, not individual performance.

Step 3 Develop a plan of action.

Based on your investigation, develop a minimum two-page plan of action, not counting the title or reference page, detailing the recommendations your team makes. Your plan should answer the question “What can be done to prevent a similar incident?”

• Attach the completed Root Cause Analysis Chart to the end of your paper as an appendix or attach it separately with your assignment.