PS 201 Lesson 1: Root Cause Analysis Helps Us Learn from Errors
This lesson uses an example from the airline industry to introduce the concept of root cause analysis (RCA), showing how this method can help individuals and organizations offer better, safer care. It also introduces a health care example that will be used throughout the three lessons. Finally, this lesson will help you identify situations that are appropriate for RCA and those that are not. 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. Explain the purpose of RCA.
2. Identify situations that are appropriate for RCA and those that are not.
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.