Root-cause analysis and safety improvement plan | Nursing | Capella University
The root cause of a patient safety issue or sentinel event pertaining to medication administration in an organization can vary but often stems from inadequate processes and procedures. In some cases, this may include poorly designed protocols for ordering and administering medications, lack of proper training for staff on medication handling and administration, failure to properly store medications in secure locations, or inadequate communication between patients, caregivers, and healthcare providers when it comes to understanding the risks associated with certain medications. Additionally, errors may occur due to system-level problems such as an outdated pharmacy information system or incomplete documentation of patient medical histories. It is important that organizations take steps to identify any potential root causes and develop strategies to mitigate these issues.