Implementing a root cause analysis, Other Subject

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Implementing a root cause analysis

Problem: You have been a nurse for some time now and may have experienced a "near-miss", a medication error or perhaps, observed a sentinel event on your unit. Describe the event in the discussion forum then explain how you would go about implementing a root cause analysis (RCA). What changes in unit policy would work best to prevent further variances?

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Other Subject: Implementing a root cause analysis

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