Root Cause Analysis and Action (RCA2) is a powerful tool for healthcare providers to utilize when an event of patient harm or a near miss occurs in their practice setting. You will find the handouts from a NCPS hosted webinar, Improving Your RCA2 Processes, and tools from IHI and the VA National Center for Patient Safety hosted here. All will help you as you perform your case reviews and determine what happened, how it happened, and how to keep it from happening again. Additionally, there is a NCPS RCA Submission checklist for NCPS members to utilize when submitting an RCA to us. It lists the three documents we want you to include as a part of your event submission.
Improving RCA2 Processes - 2023 Webinar Series
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In this first session of a 3-part webinar whose aim is to give tools to any healthcare provider conducting a Root Cause Analysis and Action the topics covered include:
• Identifying and Classifying Events for Review
• Determining the Team and Engaging the Patient -
In this second session, topics covered include:
• Finding and Mapping the Facts
• Causal Statements to Facilitate Action -
In this third session topics covered include:
• Actions to Build Safer Systems
• Audit Tools to Evaluate Your RCA2
