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Root cause analysis in medical practice
Root cause analysis in medical practice
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Root Cause Analysis Process
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A root cause analysis (RCA) is a method used when an adverse event occurs to identify what happened, causes that led to the event and how to prevent it from recurring. The RCA is not intended to lay blame on people, but to focus on the flawed system processes. A1. RCA Steps According to Institute for healthcare improvement (IHI) the RCA begins with the development of a team that is knowledgeable of the issues and processes involved in the incident. Furthermore, the team utilizes six common steps of an RCA process to identify the direct and indirect causes to this event. Identifying what happened is the first step. In the second step, the team determines what should have happened in the ideal situation. Step three determines the cause
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