ABSTRACT

The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm.

This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included.

This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.

part I|80 pages

Building an Understanding of RCA

chapter 1|8 pages

The Need for Root Cause Analysis (RCA)

chapter 2|12 pages

Forms of Analysis

chapter 3|14 pages

Pre-Work for an RCA Team Meeting

chapter 4|24 pages

Creating the Logic Tree

chapter 5|11 pages

Effective Action Plans

chapter 6|8 pages

RCA Facilitation

part II|36 pages

Root Cause Analysis Champions

chapter 7|5 pages

RCA Standardized Work by Role

chapter 8|9 pages

Barriers to RCA and Their Countermeasures

chapter 9|7 pages

Strategies for No Repeat Events

chapter 10|10 pages

Teaching RCA