Pleases read the following paragraph Answer this question.
Imagine that you have been appointed to serve on a team to investigate a sentinel event that occurred at your hospital. Recall that a root-cause analysis is an intensive questioning into the cause of a problem with the goals of providing corrective action, eliminating the problem from recurrence, and instilling quality improvements. Select one adverse event and identify factors (human, equipment, environmental) to be investigated, and provide an example of an evidence-based practice (EBP) that should have been used in this situation.
For further information on root-cause analysis, refer to the information provided on The Joint Commission Web site on sentinel event policy and procedures