All of the models discussed in this unit have merit

You are a risk manager of a tertiary care hospital and have just received a letter from a patient who was recently discharged from your facility. Understand that before you can fix the problem described in the patient’s letter, you must first understand the root causes of problems. Read the case study on page 268 in your textbook. Afterwards, address the following: Describe root cause analysis Evaluate the problem and the risk (s) identified in the case study Would you consider this situation to be a close call or near miss? If so, why? What is an effective action plan or initiative toward improving quality? Be sure to include safeguards that will prevent future errors. What methods/tools could be used to maintain quality? Summarize with your thoughts about the root cause analysis tool as it relates to risk management and quality improvement. Case Study: you are the risk manager of a tertiary care hospital and have just received the following letter from a patient who was recently discharged from your facility. Dear Risk Manager, Last month, I had surgery at your hospital. I was supposed to have a short laparoscopic surgery with a discharge by lunch, but it turned into an open surgery with complications. This led to a four-day hospital stay and discharge with a foley catheter. Overall, my hospital stay was OK, but I had a situation when the call bell was broken. It was during the night, and I was alone. I needed pain meds. I kept ringing the call bell and no one answered

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