Organizational Systems and Quality Leadership SAT Task 2 Western Governors University

Organizational Systems and Quality Leadership SAT Task 2 A. Root Cause Analysis Root Cause Analysis (RCA) is a tool to help understand the causes of an adverse event by identifying flaws in the system that can be fixed or correct to prevent the recurrence of the error. It is helpful in that it utilizes the systems approach to a mistake as opposed to placing blame on a single individual to try and identify areas that can be improved to avoid the error from happening again. (Institute for Healthcare Improvement, n.d.)

A1. RCA Steps There are six steps to all RCAs. The first is to identify the error most accurately and thoroughly as possible. This can be done by utilizing a flow-chart to...