RCA and FMEA Task 2 WGU Organizational Systems and Quality Leadership C 489

Table of Contents References 9

A. General purpose for conducting a root cause analysis When a significant event or error occurs, a root cause analysis is performed to find out why it occurred. It seeks to find the process or system failure that led to the significant event or error. The purpose is to prevent the error from occurring again. A1. Explain the six steps used to conduct an RCA, as defined by Institute for Healthcare Improvement(IHI)

1. The first step is to determine what happened. There is normally a team of 4-6 professionals within the organization responsible for conducting the RCA. The team meet to discuss the entire scenario of what occurred. Two people not involved in the RCA...