INC-2026-0040·Surgical (Ward 2A)
Root Cause Analysis: Flow rate programming variance on Becton Dickinson Alaris Guardrails (Unit #S-412) in Ward 2A
approved
Iterative interrogative technique to explore cause-and-effect relationships underlying the event.
5 Whys Causal Pathway Analysis
Progressive causal interrogation drilling from clinical symptom to systemic safeguard failure.