Root Cause Analysis

Use the Framework for Conducting a Root Cause Analysis and Action Plan Template from the Joint Commission website as a model for creating your own Root Cause Analysis and Action Plan.


Based on your reading of A Never Event so far in this course, address the following:

  • Complete all relevant sections of the sample template.
  • Provide a rigorous and complete analysis of the case study presented in A Never Event.
  • Clearly state your proposed plan of action for each representative section shown on the sample template.

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