Type of Assessment : Essay Report
Format : 12-point Times New Roman
World Length : Minimum 1500 word
Description Objectives:
- Understand the cause of errors
- Understand the root cause process
- Apply investigative techniques
- Apply data techniques to identify commonalities in aggregate root cause analysis
- Explain prevention and recovery
- Understand when systems should be modified or corrected
- Review the statistical concepts underlying statistical process control
- Recognize the difference between natural and special cause variation
- Understand how performance targets are established
Assessment Text Tasks:
- Explain the insight that the Heinrich triangle provides into the relationship between injury and unsafe practices.
- Explain the differences among skill-, rule-, and knowledge-based errors.
- Explain the difference between active and latent error. Give example of active and latent error from your workplace if possible
- What is the difference between single-event and multiple-event RCA? Which skills are needed to successfully conduct each?
- Create a Why-Why diagram analyzing why patients fall (or why they contract postoperative infections, pressure ulcers, or another issue of your choice)
- Why do systems often fail to produce desired results?
- What is the difference between continuous and discrete data?
- Explain the difference between natural and special cause variation. How special-cause variation looks like on a control chart?
- Describe how an organization can establish performance targets.
- Describe the six-step SPC process.
- Why can attempts to “perfect” system performance lead to less predictable results?
