PS 201: Root Cause Analyses and Actions
This course introduces learners to a systematic response to error called Root Cause Analyses and Actions (RCA2). The goal of RCA2 is to learn from adverse events and near misses, and to take action to prevent them from happening in the future. By the end of this course, you’ll have a step-by-step approach for investigating an event and improving after something goes wrong.

RCA2 is a trademark of the Institute for Healthcare Improvement. IHI does not endorse any software or training for the RCA2 process that is not directly provided by IHI.

Acknowledgement
This course content is based on the report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. IHI gratefully acknowledges the members of the expert panel who contributed to the report.

Click here to view resources related to this course.
Estimated Time of Completion: 1 hour 15 minutes
Type of Activity: Knowledge
Release Date: 7/28/2010
Last Update Date: 6/10/2019
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Course Objectives
After completing this course, you will be able to:
1. Explain how adverse events and near misses can be used as learning opportunities.
2. Determine which events are appropriate for Root Cause Analyses and Actions (RCA Squared).
3. Describe a timeline of activities for the RCA Squared review period.
4. Describe activities that should take place during the action period of RCA Squared.
Contributors
Author(s):
James Bagian, Physician, University of Michigan Health System View Profile
Samuel Huber, MD, Associate CMO for Patient Safety and Quality, Rochester Regional Health System View Profile
Greg Ogrinc, MD, MS, Senior Associate Dean, White River Junction VA Medical Center View Profile
Editor(s):
Laura Fink, Director, Editorial and Online Learning, Institute for Healthcare Improvement View Profile
Kathleen Vega, BA, Freelance Writer, Kathleen B. Vega, Inc View Profile
Reviewer(s):
Barbara Edson, RN, MBA, MHA, VP, Clinical Quality, Health Research & Educational Trust (HRET) View Profile
Joellen Huebner, Senior Project Manager, Institute for Healthcare Improvement View Profile
Lucian Leape, MD, Adjunct Professor of Health Policy, Harvard School of Public Health View Profile
Patricia McGaffigan, RN, MS, CPPS, Vice President, Safety Programs, Institute for Healthcare Improvement View Profile
Jo Inge Myhre, -, Head of Department, Department of Quality and Safety, Akershus University Hospital View Profile
Continuing Education
ABIM US Physician CME/MOC 1.25 Credit hours UPN# 201198447
Certified Professionals in Healthcare Quality 1.25 Credit hours
CPPS Recertification 1.25 Credit hours
General Attendance 1.25 Credit hours
International General 1.25 Credit hours
Nursing Contact Hours 1.25 Credit hours
Pharmacist CPE 1.25 Credit hours UPN# 0822-0000-19-028-H05-P
US Physician CME 1.25 Credit hours

In support of improving patient care, the Institute for Healthcare Improvement is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the healthcare team.

This activity has been approved by the National Association for Healthcare Quality for CPHQ CE credit.
Requirements
You must be a registered IHI.org user to take this course.
You must complete all the lessons within this course and achieve a minimum score of 75% in order to receive credit for the course.