PS 201 Lesson 3: How Root Cause Analysis Can Help Improve Health Care
This lesson takes a close look at the remaining two steps in an RCA: developing recommended actions and sharing a summary with a broad range of stakeholders in order to prevent error in the future. You’ll also learn the strengths and weaknesses of the RCA method, and you’ll have an opportunity to read and discuss some of the more prominent journal articles on the topic.Note: Because RCAs are usually conducted in teams, it may be beneficial to take this lesson with a small group.
Estimated Time of Completion: 30 minutes
Learning Objectives
After completing this lesson, you will be able to:
1. Describe the steps in a root cause analysis (RCA) that can lead to the improvement of health care and the prevention of future errors.
2. Explain why the recommendations developed during an RCA may have different levels of impact.
3. Describe the advantages of RCA in addressing system problems in health care.
4. Identify weaknesses in the RCA methodology and strategies to minimize them.
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
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.