Healthcare organizations accredited by the Joint Commission required conducting a root-cause analysis (RCA) in response to Mr. B case. Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog. Mr. B's leg stabilized and then he is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J.
Errors or Hazards
In the event, the results yield high levels of sugar in the blood of Mr. B. It will send Mr. B to ...