A. Root cause analysis (RCA) is a system used to determine the root cause of an adverse event. The system also determines ways to effectively handle the event. The general purpose of conducting a root cause analysis is identify what led to an event so that a similar event can be prevented in the future. A1. The six steps used to conduct an RCA as defined by IHI are as follows.

1. First, the problem needs to be identified. Team members discuss the details of what happened that led to the event in question.
2. Secondly, the team works together to identify what should have happened. The team members discuss what wouldve happened in an ideal situation.
3. Third, team members to determine why the event happened. The team discusses factors that may have directly or indirectly caused the...