Instructions: Read the case study titled ” Unfortunate Admission” by Baum, Fjone, Potthoff, Riley, and Uden (2008). (NOTE: Click on the PDF link titled “Unfortunate Admission Case Study” and you will be prompted to log in/register. Click on the “register now” button to create an account by entering your email and setting a password so that you can view the case study).
Analyze the case study by completing the following areas:
• Case summary • Errors/Issues-discuss the errors, and/or issues that occurred • Use the Root Cause Analysis to identify the major issues causing problems. • For the problems identified, provide recommendations/action plans on how the hospital can correct the problems.
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