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Quinn is a three-year-old boy with a congenital heart malformation. while recovering in the pediatric intensive care unit after surgical correction, he is accidentally given a tenfold dose of heparin. although he suffers no permanent injuries, the leadership of the hospital rightly decides to conduct a root cause analysis. as they assemble the team, it is crucial that they do the following:

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The steps of conducting a root cause analysis
Create a team of members who fulfill several roles.
User Raduation
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