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Root Cause Analyses and Actions – RCA²

How your organization responds after an adverse event is critical to patient safety. Done well, a root cause analysis – commonly referred to as an RCA - is a key step on the path to improving patient safety practices in your organization. Unless you probe the underlying causes of a patient harm event or "near miss," you won't know exactly WHAT happened, WHY it happened, and HOW to prevent it from happening again.

Conduct an RCA²

We've partnered with the National Patient Safety Foundation to adapt its guide to effective root cause analysis for your use. The foundation also added another “A” to RCA --- Actions -- to emphasize that once you better understand how and why the event occurred, your organization can work collaboratively to develop and implement an action plan to prevent future harm. Start by clicking on Step I below.



Adapted from the National Patient Safety Foundation's 2015 Report: RCA2 Improving Root Cause Analyses and Actions to Prevent Harm