Transcription of Root Cause Analysis for Pressure Ulceration
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Root Cause Analysis for Pressure Ulceration
1 of 10 Version 16: December 2014 Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted. What is this for? This root Cause Analysis (RCA) tool is used when a patient acquires a category 3 or 4 Pressure ulcer (as well as avoidable category 2 for inpatient areas), or a Pressure ulcer deteriorates whilst in receipt of care from LPT services. This is in accordance with the policy on the prevention and management of Pressure ulcers. Why use it? A root Cause Analysis will consider all the factors or events that led to the development of the Pressure damage for that individual and determine if any measures can be taken to reduce risks of it happening again.
4 of 10 Version 16: December 2014 Section 3 Risk Assessment Patients recently admitted to ward / caseload (within last 6 months): Skin assessment documented
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