NURS-FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan

Root Cause Analysis and Safety Improvement Plan

Misdiagnosis is an issue in the medical field and, most of the time, results in negative consequences for the patient’s health. That is according to the National Academy of Medicine. Approximately 12.1 million of the inhabitants of the United States have medical mistakes, and almost 10% of those mistakes are greatly awful or fatal mistakes that are very bad or can even cause death (Rodziewicz et al., 202). Thus, this kind of NURS FPX 4020 Assessment 2 offers several primary objectives: identifying why diagnostic mistakes occur and developing a safety measure consistent with proof to lessen these risks. Many different things can be done to enhance assessment and thus help healthcare workers understand what is going on and make better use of what they already have in their possession.

NURS FPX 4020 Assessment 2 Analysis of Root Cause

Information related to diagnostic errors is critical in that these mistakes are costly in healthcare organizations because patients receive the wrong or delayed treatment. A root cause analysis of this issue reveals that misinterpretation of the clinical information, heuristics, and ineffective cooperation among the members of healthcare organizations are the primary reasons (Payne et al., 2023). It also has adverse findings, such as nurses and doctors failing to relay patient information to one another or other members of the care team, which may lead to missed or incorrect diagnoses (Richens et al., 2020). Issues that come from the system, for example, lack of diagnosis equipment or the lack of time, lead to diagnostic errors as well (Jain et al., 2021). These mistakes occur primarily due to the workload and absence of specifics in medical practice; therefore, the timing of evaluation is less appropriate and less precise.

Root Cause Analysis and Improvement

These diagnostic errors occur for several reasons in a company. My last concern is that cognitive biases such as organizing and the tendency to come to conclusions early can limit a doctor’s view by making him or her concentrate on one direction. Second, when HCWs can communicate with each other, key patient information may never be transmitted or may be transmitted inappropriately (Smith et al., 2020). Third, doctors can never compare findings with evidence-based standards as much as they would love to do so, mostly because there are no clinical decision-support tools to do it for them. Fourth, inadequate access to diagnostic tools or being too slow to receive results can help delay and inaccurately diagnose issues (Richards et al., 2021). Finally, NURS FPX 4020 Assessment 2 structural factors such as shortage of human resources and working under pressure increase the chances of wrong diagnosis because the doctors are compromised by inadequate staff and working under tight time constraints.

Application of Evidence-Based Strategies

To remove medical errors, enhance patient safety, and bend the healthcare cost trend has called for the implementation of evidence-based practices and research. Doctors should employ Clinical Decision Support Systems, or CDSS, which provide the user with recommendations derived from the patient data and proven medical suggestions in real time. Rodziewicz et al. (2024) also mention cognitive errors can be minimized, and a better assessment can be made by NURS FPX 4020 Assessment 2 integrating CDSS within usual clinical activities. This method increases the reliability of diagnosis by comparing the manifestations of a particular illness in each client with regular indicators. This helps to narrow down the possibilities of reaching the wrong conclusion or even totally missing it.

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Another helpful method is to bring together individuals in order to discuss different topics from different fields. Something that can help with handing off patients is the SBAR structure (Davis et al., 2023): SWOT. NURS FPX 4020 Assessment 2 systemized pattern ensures that the right diagnostic information is passed correctly among the team members, thus decreasing the likelihood of diagnosis being further delayed (Stabile et al., 2019). Clear communication between nurses, doctors, and other healthcare workers ensures that the healthcare issue is addressed as soon as the slightest sign of illness is attained, reducing medical errors.