1.Describe the process you would use for selection of your Root Cause Analysis team. Outline who you would include; who you would exclude; and your rationale for these decisions .
2.Describe one or more incident investigation techniques that you would utilise to investigate this event. Summarise the key strengths and limitations of this technique.
3.Provide a concise narrative chronological account of what happened to this patient
4.Insert a process diagram demonstrating what happened to this patient
5.Populate the Root Causes and Contributing Factors
6.Populate RCA team recommendations
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