Multi-factorial Medication Mishap


Read the Multifactorial Medication Mishap case study and the commentary that follows.

Link to article:

Complete the root cause analysis worksheet to analyze the case.

Write a 525 word-summary in which you:

  • Explain why a root cause analysis was appropriate for this situation.
  • Analyze the impact of using tools like RCA, FMEA, and PDSA on the quality and safety of patient care.

Cite a minimum of two peer-reviewed or evidence-based sources published within the last five years to support your summary in an APA-formatted reference page.

Submit your worksheet and summary.