Bob Latino, CEO of Reliability Center Inc. has written several posts for Confident Voices in Healthcare that teach us about the ins and outs of the RCA process. I’ve also worked with Bob to develop a teaching tool about how RCA can be used to get at ALL the underlying problems and therefore solutions in a ‘Medication Error‘ scenario/youtube. (I bet every nurse can relate!)
The bottom line is that if we really want to understand and fix problems in healthcare, we have to do RCAs that uncover all contributing factors. Some do and some don’t.
Here’s the abstract and link to Bob’s latest article published by Wiley Online Library. It could be considered a primer for all HC professionals on effective RCA! Definitely worth bookmarking!If 100 healthcare executives were polled about their definitions of root cause analysis... Click To Tweet
Here’s the abstract!
If a hundred healthcare executives were polled about their definitions of root cause analysis, there would be a hundred different answers. Herein lies the problem—understanding the intent and power of root cause analysis (RCA). For this reason, RCA is viewed as having either limited or phenomenal value to an organization. This article will seek to strip away the labels associated with RCA brands and focus on the processes, their results, and how they are communicated (or miscommunicated) to executive management. Effective RCA efforts can fail because of their inability to demon- strate their value to the bottom line of the organization.
Here’s the article abstract!
© 2015 American Society for Healthcare Risk Management of the American Hospital Association Published online in Wiley Online Library (wileyonlinelibrary.com) • DOI: 10.1002/jhrm.21198