Use the Framework for Conducting a Root Cause Analysis and Action Plan Template from the Joint Commission website as a model for creating your own Root Cause Analysis and Action Plan.
Based on your reading of A Never Event so far in this course, address the following:
Complete all relevant sections of the sample template.
Provide a rigorous and complete analysis of the case study presented in A Never Event.
Clearly state your proposed plan of action for each representative section shown on the sample template.