Reference no: EM133891055

Discussion Response
Improving Business Performance
Colleague 1
 Markeita Townsend
Hello everyone,
At Big City General Hospital, the alarming rise in reported medication errors requires a systematic approach to uncover underlying causes. Using the 5-Why tool and an effect-cause-effect logic tree, the task force conducted a structured root cause analysis to understand the systemic failures contributing to the problem. Get affordable and professional assignment help service now!
Effect-Cause-Effect Flow Explanation
Problem (Effect):
Increase in medication errors reported by nurses and pharmacists.
Why #1: Why are medication errors increasing?
→ Because staff are miscommunicating or mis administering medications.
Why #2: Why is staff miscommunication or misadministration occurring?
→ Because of inconsistent procedures and poor communication channels between departments.
Why #3: Why are procedures inconsistent and communication poor?
→ Because each department uses its own method for documentation and reporting, and there's no standardized process.
Why #4: Why isn't there a standardized process across departments?
→ Because the hospital has not developed or implemented a unified medication protocol and training plan.
Why #5: Why hasn't a unified protocol been developed and implemented?
→ Because rapid hiring and surging admissions have diverted attention from systemic policy updates and staff onboarding.