You will develop a written root-cause analysis (RCA), based on a critical incident (case study) provided in the module Canvas topic, in which you will demonstrate how you would define, analyse, improve and control the circumstances around the chosen critical incident from adult nursing practice.

You will choose a RCA model/framework from those provided in the Canvas topic to organise your work. Using the structure set out below, you will identify, critically analyse and reflect on the factors that may have contributed to your chosen incident, and then make appropriate recommendations for enhancing the safety and quality of care of this aspect of clinical practice in the future. You are required to underpin your work throughout by making reference to appropriate literature.

LO1: Apply the principles of risk management in maintaining a safe care environment

LO2: Critically reflect on near misses, critical incidents, major incidents and serious adverse events

LO3: Critically explore how human factors can influence and impact upon behaviour within teams and the way in which this can affect health and safety

LO4: Appraise and advocate methods used to instigate positive change to promote safety and quality of care