Seventy MHA Keystone Center members attended a Root Cause Analysis and Action (RCA²) training Oct. 8 in Lansing.
Attendees worked in small groups through a simulated event, which consisted of developing an initial flow diagram, preparing for staff interviews, and learning how to document and standardize the RCA² process.
The RCA² method helps guide healthcare staff when examining adverse events by systematically uncovering process-level issues and implementing appropriate corrective actions. The root cause analysis process is essential to reduce and eliminate harm.
The training is based on the National Patient Safety Foundation’s RCA²: Improving Root Cause Analyses and Actions to Prevent Harm guidelines and is administered by James Bagian, MD, PE, director of the Center for Healthcare Engineering and Patient Safety (CHEPS) and a professor in the Medical School and the College of Engineering at the University of Michigan, Ann Arbor; and Joseph DeRosier, PE, program manager, CHEPS.
Attendees of the workshop will connect on a Dec. 5 follow-up coaching call, when participants can share how they have applied the knowledge gained from the RCA² training to their root cause analysis process. For more information, contact the MHA Keystone Center.