Type of Assessment : Essay Report
Format : 12-point Times New Roman
World Length : Minimum 1500 word Objectives:
Understand the cause of errors
Understand the root cause process
Apply investigative techniques
Apply data techniques to identify commonalities in aggregate root cause analysis
Explain prevention and recovery
Understand when systems should be modified or corrected
Review the statistical concepts underlying statistical process control
Recognize the difference between natural and special cause variation
Understand how performance targets are establishedAssessment Text Tasks:
2) Explain the differences among skill-, rule-, and knowledge-based errors.
3) Explain the difference between active and latent error. Give example of active and latent error from your workplace if possible
4) What is the difference between single-event and multiple-event RCA? Which skills are needed to successfully conduct each?
5) Create a Why-Why diagram analyzing why patients fall (or why they contract postoperative infections, pressure ulcers, or another issue of your choice)
6) Why do systems often fail to produce desired results?
7) What is the difference between continuous and discrete data?
8) Explain the difference between natural and special cause variation. How special-cause variation looks like on a control chart?
9) Describe how an organization can establish performance targets.
10) Describe the six-step SPC process.
11) Why can attempts to perfect system performance lead to less predictable results?
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