RCA squared

Is anyone using this methodology and structure for their Root Cause Analysis? We are trying to put the pieces in place right now and was hoping to get some feedback on what is working (team structure...front-line vs. manager, do you rotate members), who is performing initial review (scoring of probability and severity), what training are you using for RCA squared team members, and the RCA squared tools included in the tool kit. Any input appreciated.


Showing 9 reactions

Please check your e-mail for a link to activate your account.
  • commented 2017-03-28 17:01:50 -0400
    I see this is a year-old post but I’m hoping to get some feedback… I’m new to patient safety and am trying to implement an algorithm to decide whether to table-top an event vs. RCA. Cindy, I hope you see this. If you still have that outline, I would love to take a look. Anyone else, feel free to share your experiences, as well: chads.jackman@UTSouthwestern.edu. Thanks in advance!
  • commented 2016-03-02 15:00:47 -0500
    Hi Cindy, I would be very interested to see your outline as well. jfexis@fhfc.org

    Thanks for sharing!
  • commented 2016-02-29 19:40:25 -0500
    Thanks, Cindy! Really appreciate any guidance you can provide. My email is Katherine.wagoner@stjoeshealth.org Please let me know if I can reciprocate in any way.
    Thanks again, Kat
  • commented 2016-02-29 16:30:22 -0500
    Cindy,

    Yes I would be very interested. Do you wish to share over phone or email? My email is Philip.joines@cghmc.com
    Thank you,
  • commented 2016-02-29 15:11:59 -0500
    We are also including the RCA squared tools and process into our RCA process and would be happy to share an outline of our process if you’re interested.
    Thanks!
  • followed this page 2016-02-29 15:07:39 -0500
  • commented 2016-02-25 13:40:11 -0500
    Do you have a checklist or a flow chart detailing the RCA-squared process that you’d be willing to share? Thanks for the feedback!
  • commented 2016-02-09 10:16:41 -0500
    We are incorporating the RCA squared tools into our process. We are currently formally changing our process which has been piloted ( and improved) for about 2 years now (involves at least 2 separate meetings so that:
    1- initial event immediate- only involved/ or present staff, review/develop sequence of events, 5 whys until root causes are determined- ask staff involved for their suggested corrective/preventive actions create causal analysis PowerPoint
    2- Mangers, directors and subject matter experts review thew causal analysis presentation and supply additional feedback. Leaders in the room approve suggested corrective/preventive actions or if they cannot approve support them must formulate and approve action plans that that address the root causes.
  • published this page in Join the Discussion 2016-02-04 12:52:09 -0500

Discussion Forum

Six Ways to Be a Safe Patient
Sharing this advice, from the Arizona Department of Health Services, http://directorsblog.health.azdhs.gov/our-work-t...
Marlborough Hospital Celebrates Patient Safety Awareness Week and Pi Day
We are still seeing reports of activities that took place last week. Read this piece about Marlborough (MA) Hospital'...
Patient Safety Awareness Week 2017—The Week in Review
Patient Safety Awareness Week took place March 12-18, 2017, with health care organizations, patients, and health prof...
See All Stories

Patient Safety News

See More News

Twitter: #UnitedForPatientSafety

The National Patient Safety Foundation salutes Mallinckrodt Pharmaceuticals for their generous support of this year's Patient Safety Awareness Week and their ongoing commitment to patient and workforce safety.