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A healthcare organization had three medication incidents associated with narcotics. None of the events led to permanent loss of function or death, but could be considered near misses. Which of the following would be the best tool to use to identify influencing factors?
Correct Answer: B
In the case of three medication incidents involving narcotics that were near misses, the best tool to identify influencing factors is a Root Cause Analysis (RCA). RCA is a systematic process used to investigate and understand the underlying causes of adverse events or near misses. The goal is to identify contributing factors and underlying system issues that need to be addressed to prevent future occurrences. RCA is particularly suited for situations where an incident has already occurred and the organization needs to understand how and why it happened. Report from electronic health record (EHR) (A): While EHR data can provide useful information, it is not a tool for identifying root causes of incidents. Proactive risk assessment (C): This would be more appropriate before incidents occur, not after near misses. Nominal group technique (D): This is a group decision-making process and is less suited for detailed analysis of incidents compared to RCA. Reference NAHQ Body of Knowledge: Root Cause Analysis in Incident Investigation NAHQ CPHQ Exam Preparation Materials: Incident Analysis Tools