PS 201: Root Cause and Systems Analysis
Please note: This course is no longer required for the Basic Certificate in Quality and Safety. This course was renumbered on August 15 and removed from the Certificate.

This course introduces students to a systematic response to error called root cause analysis (RCA). The goal of RCA is to learn from adverse events and prevent them from happening in the future. The three lessons in this course explain RCA in detail, using case studies and examples from both industry and health care. By the end, you’ll learn a step-by-step approach to completing an RCA after an error – and improving the process that led to the error.Note: Because RCAs are usually conducted in teams, it may be beneficial to take this course with a small group.

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Estimated Time of Completion: 1 hour 30 minutes
Type of Activity: Knowledge
Release Date: 7/28/2010
Last Update Date: 7/28/2010
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Course Objectives
After completing this course, you will be able to:
1. Explain how adverse events can be used as learning opportunities.
2. Determine which adverse events are appropriate for root cause analysis (RCA).
3. Describe how RCA works and be able to follow it at a local hospital or clinic.
4. Explain how you can use RCA to address system problems in health care.
Contributors
Author(s):
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):
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
Lucian Leape, MD, Adjunct Professor of Health Policy, Harvard School of Public Health 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 1.50 Credit hours UPN# 200754596
Certified Professionals in Healthcare Quality 1.50 Credit hours
General Attendance 1.50 Credit hours
International General 1.50 Credit hours
Nursing Contact Hours 1.50 Credit hours
Pharmacist CPE 1.50 Credit hours UPN# 0822-0000-16-064-H05-P
US Physician CME 1.50 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.