The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm.
This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included.
This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.
"The main strengths of the materials are that they are practical, thorough and readily applicable to healthcare. The materials provide tools necessary for successful RCA performance and action plan implementation based on the authors years of experience leading the analysis of actual patient safety events in healthcare. The materials emphasize the importance of learning from adverse events to an organization’s culture of safety. The authors place the patient at the center and also recognize the importance of credible event investigation to caregivers. The materials appropriately emphasize a systems approach to medical errors, the importance of reliably identifying the root cause of an event and implementing an action plan that prevents the error from recurring."
- Andrea Halliday, MD, Former Chief Clinical Officer Peace Health and PeaceHealth Oregon Network CMO (retired)