PS 201 Lesson 3: Actions to Build Safer Systems
This lesson takes a close look at the true purpose of Root Cause Analyses and Actions (RCA2): action. You will learn how to compose recommended actions so that people with appropriate authority in the system can use the findings to improve.
Estimated Time of Completion: 20 minutes
Learning Objectives
After completing this lesson, you will be able to:
1. Describe how a Root Cause Analysis and Actions (RCA Squared) review can lead to the improvement of health care and the prevention of future errors.
2. Differentiate between actions that have high, medium, and low impact when working to improve safety.
3. Describe how setting goals and tracking measures are critical in the improvement process.
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
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
Requirements
You must be a registered IHI.org user to take this lesson.
You must achieve a minimum score of 75% to successfully complete this lesson.