A. General Purpose 1. Use the RCA guide also see IHI PS 201 – Lessons 2 & 3 Cour

A. General Purpose
1. Use the RCA guide also see IHI PS 201 – Lessons 2 & 3 Course
Materials> page 14 2. Describe in your own words 3. Do not need to apply steps to the scenario in this section
A1. RCA Steps 1. List each step briefly and describe in your own words
2. Do not need to apply steps to the scenario in this section
A2. Apply RCA 1. Identify causative and contributing factors (either together or
separately) 2. List several factors for each 3. No right or wrong answers as long as evidence is cited from the
scenario 4. List which steps from the RCA process helped you determine
these factors (not all steps need to be
listed; just the steps that
helped determine causative and contributing factors). B. Propose Process
Improvement Plan
1. Based on the problems you identified in section A2, what
recommendations would you make to correct those problems? 2. Think about what you could create, implement, modify, etc. to
prevent the outcome in the scenario
B1. Lewin’s Change Theory
1. See Cherry (textbook) Ch 17- page 304 or IHI QI 201: L1: How
Change Spreads from Course Materials > page 19
2. Describe Lewin’s Change Theory and the 3 phases 3. Discuss how you would apply the 3 phases within your
improvement plan (from letter B) C. FMEA Process
1. Use the FMEA Tool Also Watch the FMEA video from Course
Materials > page 15 2. Put information in your own words C1. Steps of FMEA process 1. Use the FMEA Tool Also Watch the FMEA video from Course
Materials > page 15
2. Describe the 5 steps of the FMEA process as defined by IHI.
3. List as though someone reading your paper would know how to
conduct an FMEA
4. There are 5 steps in the FMEA process according to IHI;
completing the FMEA table is Step 4. A numbered list can be
used. C2. FMEA Table 1. Use table provided by WGU found at the bottom of Task 2 2. Focus on improvement plan from letter B, not problems within
the scenario 3. Table should correlate with Improvement Plan from letter B 4. Can either be one theme with 4 steps in the process, or 4 different
steps (different improvements) 5. Use the FMEA Tool Also Watch the FMEA video from Course
Materials > Page 15 D. Test Interventions
1. Discuss PDSA cycle: IHI QI 102-Lesson 5 & QI 103 2. Apply the PDSA cycle to one part of your plan from Section B to
explain how you would test the
interventions
E. Leadership 1. See Cherry (textbook) Ch 17 page 290. Access through Course
Materials > page 18 Also, IHI L101: Intro to Healthcare Leadership 2. Focus on nurse leadership (influence of others)
3. Discuss all 3 areas separately and provide one example of
leadership for each:
• Promoting quality care
• Improving patient outcomes
• Influencing quality improvement activities 4. You can share from your professional experience or organizational
opportunities E1. Nurse Involvement with RCA
& FMEA 1. Discuss both processes separately 2. How would you demonstrate leadership within these processes? 3. May also help to focus on interdisciplinary collaboration.
F. Sources Visit the Writing Center The submission includes in-text citations for sources
that are properly quoted, paraphrased, or summarized and a reference list
that accurately identifies the author, date, title, and source location as
available. See Working with IHI Website for how to cite IHI.