The rubric aspect titles may contain hyperlinks to relevant portions of the course. 

A. c

1. Explain each of the six steps used to conduct an RCA, as defined by IHI. 

2. Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome. 

B. Propose a process improvement plan that would decrease the likelihood of a reoccurrence of the scenario outcome. 

1. Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan