The occupational health nurse for a hydroelectric plant uses root cause analysis to investigate a recent accidental electrocution of a plant worker. The nurse currently is defining the characteristics of the case
In which step of the root cause analysis is the nurse?
A) Define the problem
B) Collect data
C) Identify possible causal factors
D) Identify the root cause
Ans: A
Feedback:
Defining the problem includes defining the characteristics of the case and determining the circumstances under which it occurred. Collecting data includes determining whether similar illnesses or injuries occurred in the past, comparing similarities and differences, creating a time line related to the problem, and determining the impact of the problem. Identifying possible causal factors includes convening people involved in the situation to discuss the cause, determining the sequence of events that led to the illness or injury, identifying the conditions that allowed the problem to occur, identifying related problems, creating a chart of possible causal factors, and identifying causal factors and possible interrelationships. Identifying the root cause includes identifying the true causes of the illness or injury, determining why the causal factor or factors exist, and determining the real reason the problem occurred.
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