Question

Quinn is a three-year-old boy with a congenital heart malformation. While recovering in the pediatric intensive care unit after surgical correction, he is accidentally given ten times the appropriate dose of heparin. Although he suffers no permanent injuries, the leaders of the hospital decide to conduct a RCA2. As they assemble the team, which of the following would you recommend?(a) include quinn's parents.
(b) put together a team of mostly nurses and physicians.
(c) create a team of members who fulfill several roles.
(d) include the health care providers involved in quinn's care.

Answer 1

Answer:

(c) create a team of members who fulfill several roles.

Explanation:

RCA2-Improving Root Cause Analysis  and Action to Prevent Arm-is a term coined to describe team of medical experts whose main objective is to determine the root cause of  why an anomaly  happened, why it happened, and how to  prevent such anomaly in future or to mitigate the complication that may  arise,and to secure the life of the patient.

Heparin overdose has several adverse effects on the body physiology; from effect on  circulatory, to renal, to the liver, body temperature, respiration system etc.

Therefore  a team of health professionals with different specialities, to fulfil several roles should be assembled so that reason for the overdose could be determined, techniques to prevent such in future could be designed,and  any eventual complications can be traced easily through share prognosis, to avoid serious complication., and prevent such occurrence in future.

Answer 2

Answer: c) create a team of members who fulfill several roles.

Explanation: Root cause Analysis and Action, $RCA^{2}$ aims to determine the causes of instances where a patient meets any form of harm or undesirable event. The key step in the $RCA^{2}$ is to totally eliminate the event from repeating itself.

It is recommended that the $RCA^{2}$ team is made up of between four and 6 people. The team should consist of people who fulfill several roles, and chosen from different levels of the organization. There should also be a patient representative and the people involved in the event must be excluded. They can only be interviewed to gather information about the case.