Review case study scenario - what happened to alex


Problem: For your HAT, you will presentation based on the case study scenario "What Happened to Alex?"

Your quality and risk management plan must include:

  • A root-cause analysis;
  • At least two recommendations for improvement;
  • Identification of all employees' roles in your analysis;
  • An assessment of what the facility can do going forward to create a culture of quality and safety;
  • Quality, risk, and performance improvement diagrams and charts (e.g., a fishbone or other visual forms of root cause analysis, Pareto chart, tables, etc.) to support your analysis; and
  • A commentary that relates the case broadly to what has been covered throughout the course and describes the roles played by quality and regulation to prevent occurrences such as the case described.

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