RaDonda Vaught Case Root Cause Analysis

The Signature Assignment (SA): The SA is worth 40% of your course grade and you MUST score a 78% or higher on it to pass the entire course. It is very important to put time and focused energy into your work for this assignment. Please read the following articles and watch the video about the RaDonda Vaught Case. Then continue to do your own research on the aspects of this case directly related to nursing responsibility and legalities. I encourage you to spend considerable time researching this case more in-depth outside of the provided resources here. Complete a Root Cause Analysis based on this case: 1. 1. Explain what a Root Cause Analysis is and the purpose of using one for your facility. 2. What were the major issues and contributing factors that led to the incident in the RaDonda Vaught Case? What occurred based on facts shared in these resources? 1. Please include all details surrounding this case. Explain the situation and causes. Speak to issues that may have led to distraction, protection of the hospital, nursing responsibilities, and anything else you feel is pertinent to share about this case. 3. What, how, and why did this incident occur? 4. What was this nurse charged with? Do you think this was fair after completing your research? 5. What are opportunities and/or plans of improvement to prevent similar situations in happen in the future? Identify the best evidence(s) to support policy development related to this issue. 6. Please also share your feelings and concerns as a result of studying this particular case. How can you better protect your patients and yourself? 7. Create a safe medication administration flyer or announcement to display in your facility. Please include a picture of your flyer or announcement to include in this presentation. *Your presentation should have 16-20 slides for a PowerPoint Presentation (or 8-10 sections if you are using a Padlet). Use at least three scholarly references within 5 years. Include a title page and reference page (these are not included in the slide or section count). *You must use color, design, pictures/art to create a visually pleasing presentation. You want this to be interesting to your audience. Video and Articles to Support this Assignment: to an external site. to an external site. to an external site. If you decide to use a Padlet, here is the link: to an external site. COs: 3 & 5 MO: 1, 2 References: Lusk, C., DeForest, E., Segarra, G., Neyens, D. M., Abernathy, J. H., 3rd, & Catchpole, K. (2022). Reconsidering the application of systems thinking in healthcare: the RaDonda Vaught case. British journal of anaesthesia, 129(3), e61e62. Nightline. (n.d.-a). Former nurse speaks out after sentencing in fatal drug error. YouTube. Ramsay, M. (2022, June 22). Lessons learned from the Radonda Vaught case. Patient Safety & Quality Healthcare. Retrieved March 3, 2023, from