SAQ 821 – Administration – root cause analysis after waiting-room death

A 65-year-old man presented to your ED on a Sunday evening with acute atraumatic hip pain. He was assessed as triage category 3. After waiting four hours he collapsed in the waiting room; resuscitation was unsuccessful and he died. You are the ED consultant involved in the root cause analysis.

Define root cause analysis, stating two (2) points in your answer.

(Marked out of 2.0)

/ 2

List three (3) systems issues that could lead to an adverse event in the ED and state how each contributes.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Systems issue</th> <th>How it contributes</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> </tbody> </table> <p>

/ 6

State four (4) aspects that the open-disclosure process must include.

(Marked out of 4.0)

/ 4

Total Score: 0 / 12

Percentage: 0%