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.

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  • Chad Jackman
    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!
  • jennifer fexis
    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!
  • Katherine Wagoner
    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
  • Philip Joines
    commented 2016-02-29 16:30:22 -0500

    Yes I would be very interested. Do you wish to share over phone or email? My email is Philip.joines@cghmc.com
    Thank you,
  • Cindy Bond
    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.
  • Cindy Bond
    followed this page 2016-02-29 15:07:39 -0500
  • Katherine Wagoner
    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!
  • Anne Marie Pizzi
    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.
  • Philip Joines
    published this page in Join the Discussion 2016-02-04 12:52:09 -0500

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