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Patient Safety Monitor (Briefings on Patient Safety) (Single Issue)
June 2000
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Performing an effective root-cause analysis depends on using right tools
Editor’s note: This is the second article in a three-part series on how to avoid the pitfalls of performing a root-cause analysis (RCA) as required by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) under its sentinel event policy. This month, BOPS gives pointers on how to utilize the different RCA tools.
So your RCA task force is in place, and it’s time to begin the process of finding out what went wrong.
But where do you begin? And which RCA tools should your team utilize?
The bes
