Review the case at the U. Department of Health and Human Services, Agency for Healthcare Quality and Research, quot;Getting to the Root of The…

Review the case at the U.S. Department of Health and Human Services, Agency for Healthcare Quality and Research, “Getting to the Root of The Matter” at https://psnet.ahrq.gov/webmm/case/98/getting-to-the-root-of-the-matter

Prepare a 4-page paper that responds to the following:

1. Define a root cause analysis and when it is used.
2. In the case study identify the incident and explain the problem that might trigger a root cause analysis.
3. Do you agree that the problem should not be investigated? Explain why or why not?
4. Discusses the goals and limitations of root cause analysis;
5. Outline the steps to conduct a root cause analysis.