[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-244637-105":53,"doc-detail-244637-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","root-cause-analysis-rca-2152018","Root Cause Analysis (RCA) - 2/15/2018","","Root Cause Analysis (RCA) instructions guide hospital teams in evaluating a patient safety event and identifying improvement opportunities. The process defines a structured multi-meeting timeline: initiating within 72 hours, reviewing findings within 14 days, and finalizing an action plan within 28 days. It covers assembling the RCA team, describing events with timelines, documenting immediate remedial actions, disclosure steps, investigation methods, contributing factors, literature search, conclusions, and developing a prioritized corrective action plan with leaders, measures, and evaluation dates.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/root-cause-analysis-rca-2152018/244637/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/root-cause-analysis-rca-2152018/244637.png","ImageObject",442,249,{"name":88,"@type":89},"Alex Sinclair","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":20},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the purpose of this Root Cause Analysis (RCA) document?","Question",{"text":108,"@type":109},"It provides guidance for conducting an RCA for a patient safety event and identifying potential opportunities for improvement.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What are the meeting timelines for completing the RCA process?",{"text":113,"@type":109},"The first meeting should start within 72 hours, the second within 14 days to review findings, and the third within 28 days to finalize the action plan and measures.",{"name":115,"@type":106,"acceptedAnswer":116},"What must be included in the recommended action plan (Steps 9–10)?",{"text":117,"@type":109},"Actions must be identified for each root cause/contributing factor/incidental finding, prioritized by impact and feasibility, and assigned with appropriate leaders, evaluation methods/measures, and follow-up dates.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},244637,1789220248,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":20,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":15,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":125,"read_time":79},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Root Cause Analysis (RCA) Instructions  \nPurpose: To provide guidance in conducting a Root Cause Analysis for a Patient Safety Event, and to identify potential opportunities for improvement.  \nWho should use this document? Hospital risk managers and patient safety specialists assigned to the particular event How to use this document:  \n􀁸  1st Meeting: Goal to initiate meeting within 72 hours of event submission. Identify team members. Complete Step 1. Make investigation assignments (policies, publications, research, interviews) . Plan who will draft Steps 2 – 8.  \n􀁸  2nd Meeting: Goal to hold meeting within 14 days of event submission. Review investigation findings. Identify contributing factors, vulnerabilities. Complete Steps 2 – 8. Discuss potential actions. Plan to draft Steps 9 – 10.  \n􀁸  3rd Meeting: Goal to hold meeting within 28 days of event submission. Finalize action plan and measures. Each identified cause/contributing factor should have at least one action. Each identified action must have a process or outcome measure. Complete Steps 9 – 10.  \nStep 1: Assemble a team to review the patient safety event  \nTeam composition should vary based upon the event. Designate an Executive Leader and process owner of the RCA.  \nStep 2: Describe what happened  \nProvide a clear, thorough and objective explanation of what happened. Reconstruct the timeline.  \nStep 3. Immediate/Remedial Actions.  \nRecord any actions immediately taken to mitigate harm. Document details regarding process owners, and when the actions were started and/or stopped. Revisit and update this section throughout the RCA meetings.  \nStep 4. Disclosure.  \nProvide relevant details of the disclosure process. Continue to update this section throughout the RCA process.  \nStep 5. Investigation approach.  \nNote which methods/tools are being used as a part of this investigation.  \nStep 6. Why did it happen?  \nReview the event summary and consider what factors contributed to the event happening. There are commonly multiple system factors that contribute to an event. Sample 1 provides examples of possible contributing factors.  \nIndicate whether each identified root cause, contributing factor, or incidental finding is an opportunity for improvement. This review process may identify additional factors, or incidental findings, that increase the risk of a patient safety event.  \nStep 7. Literature search.  \nRecord any research the team conducted regarding this investigation.  \nStep 8. Conclusion.  \nDiscuss the final findings of the investigation. Discuss causality and how the root causes resulted in the final outcome.  \nStep 9. How could we fix the defects  \nIdentify corrective actions for each identified root cause, contributing factor, or incidental finding. Carefully consider the type of action and the potential impact of the action to reduce the risk of the event recurring.  \nAim to prioritize stronger actions, but note that weak actions may sometimes be the only option. If weak actions are necessary, consider pairing them with stronger actions to support a greater impact.  \nStep 10. Develop recommended action plan  \nList prioritized actions to mitigate each causal or incidental factor.Sample 2 provides types of interventions and examples. In prioritizing the action plan, consider impact and feasibility of each recommended action. Prioritize actions with a high potential to reduce or eliminate future events, and that are feasible to implement. Each action requires an appropriate leader, measures and methods for evaluation, and follow-up dates to evaluate progress.  \nVersion 2/15/2018 1  \nROOT CAUSE ANALYSIS REPORT  \nPrivileged and Confidential Medical Review Document  \nSAFE \\#:  \nRCA Completed By:  \n\n| Date of Incident |  | Date Reported |  |\n| --- | --- | --- | --- |\n| Entity |  | Event Type |  |\n| Location |  | Event Severity (MERP) |  |\n| Patient Name |  | MRN |  |\n| Keywords/ short phrase to describe event: |  |  |  |\n\n\n| \\# | RCA Meeting Date | Activities Complete","cbCaibfiHkivbuna","https://ap.wps.com/l/cbCaibfiHkivbuna","pdf",722737,"English","# Purpose\n## Who should use this document?\n## How to use this document\n## Step 1: Assemble a team\n## Step 2: Describe what happened\n## Step 3: Immediate/Remedial Actions\n## Step 4: Disclosure\n## Step 5: Investigation approach\n## Step 6: Why did it happen?\n## Step 7: Literature search\n## Step 8: Conclusion\n## Step 9: How could we fix the defects\n## Step 10: Develop recommended action plan\n# RCA Report Template","[{\"question\":\"What is the purpose of this Root Cause Analysis (RCA) document?\",\"answer\":\"It provides guidance for conducting an RCA for a patient safety event and identifying potential opportunities for improvement.\"},{\"question\":\"What are the meeting timelines for completing the RCA process?\",\"answer\":\"The first meeting should start within 72 hours, the second within 14 days to review findings, and the third within 28 days to finalize the action plan and measures.\"},{\"question\":\"What must be included in the recommended action plan (Steps 9–10)?\",\"answer\":\"Actions must be identified for each root cause/contributing factor/incidental finding, prioritized by impact and feasibility, and assigned with appropriate leaders, evaluation methods/measures, and follow-up dates.\"}]","Root Cause Analysis (RCA) - 2/15/2018 | PDF"]