The actions the healthcare community takes in response to adverse medical events and patient safety concerns are of paramount importance. The new knowledge acquired and the processes implemented become dispersed throughout patient care. In this competency you will work through the regulatory and Quality Improvement steps that follow adverse medical events.

Assignment Directions
Using the scenario described in section 304.1, discuss the Root Cause Analysis process (per the Joint Commission) that should occur following that adverse event. Use an outline format and list each step in detail within your outline. Imagine this document will be the roadmap that the healthcare team will use to meet regulatory requirements and improve care in their facility.
For example, include where appropriate: the timing of meetings, who should be present, what will occur, what is the expected outcome, who will carry out each task, etc. Attach any forms or supporting documentation that would be helpful for the interdisciplinary team to actually carry out the outlined plan.