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Text: Joint Commission Root Cause Analysis Case Study - 2019 Instructions: 1. Read the case study: Wandering Off the Floors: Safety and Security Risks of Patient Wandering at: http://www.webmm.ahrq.gov/ 2. Read the attached handout: JC Tool to Assist Organizations in the Completion of the Framework for Conducting a Root Cause Analysis 3. Review the Provision of Care, Treatment, and Services (PC) Elements of Performance (EP) standards found in the 2006 Accreditation Process Guide for Hospitals 4. Prepare a typed, root cause analysis report and plan of action of the case following guidelines in the Tool to assist document to include: - The report of the root cause analysis should be written in complete sentences. As appropriate, address each bulleted item listed in the Tool to Assist document. Be sure to read each explanation and example (51 points). Points will be assigned on thoroughness of the analysis. - Attach to the report plans of action. Use as an example plan of action found in the 2008 Accreditation Process Guide for Hospitals (60 points). Points will be assigned based on: - Accurately citing JC Elements of Performance (EP) standard - Accurately describing root cause - Citing reasonable and practical plan of action - Correctly naming responsible person(s) - Providing realistic measure(s) of success (MOS)

          Text: Joint Commission Root Cause Analysis Case Study - 2019
Instructions:
1. Read the case study: Wandering Off the Floors: Safety and Security Risks of Patient Wandering at: http://www.webmm.ahrq.gov/
2. Read the attached handout: JC Tool to Assist Organizations in the Completion of the Framework for Conducting a Root Cause Analysis
3. Review the Provision of Care, Treatment, and Services (PC) Elements of Performance (EP) standards found in the 2006 Accreditation Process Guide for Hospitals
4. Prepare a typed, root cause analysis report and plan of action of the case following guidelines in the Tool to assist document to include:
   - The report of the root cause analysis should be written in complete sentences. As appropriate, address each bulleted item listed in the Tool to Assist document. Be sure to read each explanation and example (51 points). Points will be assigned on thoroughness of the analysis.
   - Attach to the report plans of action. Use as an example plan of action found in the 2008 Accreditation Process Guide for Hospitals (60 points). Points will be assigned based on:
     - Accurately citing JC Elements of Performance (EP) standard
     - Accurately describing root cause
     - Citing reasonable and practical plan of action
     - Correctly naming responsible person(s)
     - Providing realistic measure(s) of success (MOS)

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