Syncope can have devastating consequences, resulting in injuries, accidents or even death. Causes of syncope in older adults include orthostatic hypotension, carotid sinus syndrome, vasovagal syncope and many more. In the recently published World Falls Guidelines, syncope in older adults often presents as falls, especially in those prone to falls. In residents with unexplained falls, special attention to syncope is …
Does Root Cause Analysis Improve Resident Safety?
Since the beginning of time, it seems, we have educated our staff on the importance of root cause analysis (RCA). RCA is mainly used to identify “why” something happened, including falls, sepsis, elopements, etc. Our QAPI committees meet quarterly (or more often, hopefully) and discuss the “5 whys”, we “peel back the onion”, we use the fishbone diagram, but no …
Root Cause Analysis
Sound familiar? It has been a very long year with the pandemic and working through one crisis after another right? It is truly time to get back to basics, let’s move the bar and take action on some of the things that we can truly change or improve! Root Cause Analysis has been around forever and a day, it assists …