Read the Multifactorial Medication Mishap case study and the commentary that follows.
Link to article: https://psnet.ahrq.gov/webmm/case/314/multifactorial-medication-mishap
Complete the root cause analysis worksheet to analyze the case.
Write a 525 word-summary in which you:
- Explain why a root cause analysis was appropriate for this situation.
- Analyze the impact of using tools like RCA, FMEA, and PDSA on the quality and safety of patient care.
Cite a minimum of two peer-reviewed or evidence-based sources published within the last five years to support your summary in an APA-formatted reference page.
Submit your worksheet and summary.