[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-243547-105":53,"doc-detail-243547-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-toolkit-for-long-term-care","Root Cause Analysis Toolkit for Long Term Care","","Root Cause Analysis (RCA) toolkit for long term care explains how a team investigates an actual or potential problem, incident, or concern by looking beyond immediate solutions to find underlying causes. 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A team looks beyond an immediate solution to understand the underlying cause(s) of the problem. Those causes are then changed to prevent the problem from happening again. For support using this toolkit, contact Superior Health Quality Alliance, [info@superiorhealthqa.org](info@superiorhealthqa.org).  \nWhat is Root Cause Analysis and Why is It Valuable?  \nStart with this introduction to root cause analysis.(16-minute video) transcript (6-page PDF)  \nHow to Use the Root Cause Analysis Toolkit for Long Term Care A short intro to the toolkit.  \n(3-minute video)  \nGetting Started  \nRoot Cause Analysis is comprised of the seven steps identified below. When you select a step you will be presented with a table of resources related to this step. There are tools that will assist you in doing the step and an example of how to perform that step. There is one scenario that is used throughout all the steps to demonstrate a beginning to end effort.  \n1. Identify the Event  \nThe nursing home should have a process for selecting events that will undergo an RCA. Event and concerns can come from many sources.  \n•  When to Use the RCA Process  \nDescribes when to apply the RCA process. (1-page PDF)  \n•  Case Study  \nCase study of a nursing home team using RCA to analyze a problem and make changes to prevent it from happening again. Case study is followed throughout RCA Toolkit. (2-page PDF)  \n2. Select Team  \nRoot cause analysis is always conducted by a team. This team identifies the root cause(s) of a single event and identifies, implements, and evaluate corrective actions to prevent the event from happening again. This step involves selecting a facilitator and team members.  \n•  Select Facilitator and Team Members  \nDescribes considerations for selecting a team facilitator and team members. (2-page PDF)  \n• Non-Punitive Culture  \nA non-punitive culture vs. a blame culture. (1-page PDF)  \n3. Describe Event  \nCollect and organize the facts surrounding the event to understand what happened.  \n•  Interview Guidelines  \nDescribes information for person conducting an interview for RCA. (2-page PDF)  \n•  RCA Timeline Worksheet  \nDescribes how to use an RCA timeline and provides a worksheet for your use. (2-page PDF)  \n•  RCA Timeline Worksheet Example  \nExample of RCA Timeline based on case study. (2-page PDF)  \n•  Introduction to Creating a Just Culture  \nKey concepts of Just Culture and why it is important to create an environment of free and open reporting. (53-minute webinar)  \n4. Identify All Factors  \nThe situations, circumstances or conditions that increased the likelihood of the event are identified, and analyzed.  \n•  Flowcharting Instructions  \nDescribes how to create a flowchart. A flowchart is a tool that allows you to break any process down into individual events or activities and shows the logical relationships between them. (2-page PDF)  \n•  Brainstorming, Affinity Grouping and Multi-Voting  \nDescribes techniques for identifying and ranking contributing factors. (3-page PDF)  \n•  Fishbone Diagram Worksheet  \nDescribes the fishbone diagram process and provides a worksheet for your use. (2-page PDF)  \n•  Fishbone Diagram Worksheet Example  \nExample of fishbone diagram based on case study. (1-page PDF)  \n•  Five Whys Worksheet  \nDescribes the five whys method for analyzing an event and provide a worksheet for your use. (2-page PDF)  \n•  Five Whys Worksheet Example  \nAn example of five whys based on case study. (1-page PDF)  \n5. Identify Root Cause  \nAfter identifying all the factors that contributed to the event, the team chooses one or more root causes. Root causes are those factors that if altered, would prevent the event from happening again.  \n•  Root Cause and Contributing Factors Worksheet  \nDescribes how to document root cause(s) and contributing factors. (2-page PDF","cbCaibhxV5OdPNlR","https://ap.wps.com/l/cbCaibhxV5OdPNlR","pdf",561043,"English","# Getting Started\n## What is Root Cause Analysis and Why is It Valuable?\n# RCA Process Steps\n## 1. Identify the Event\n## 2. Select Team\n## 3. Describe Event\n## 4. Identify All Factors\n## 5. Identify Root Cause\n## 6. Change and Measure\n## 7. Communicate and Sustain","[{\"question\":\"What is Root Cause Analysis (RCA) and what makes it valuable in long term care?\",\"answer\":\"RCA is a team-based problem-solving method that investigates actual or potential problems, incidents, or concerns. It focuses on underlying causes so changes can prevent the problem from happening again.\"},{\"question\":\"What are the seven steps of the RCA process covered in this toolkit?\",\"answer\":\"The toolkit outlines seven steps: Identify the Event, Select Team, Describe Event, Identify All Factors, Identify Root Cause, Change and Measure, and Communicate and Sustain.\"},{\"question\":\"How does the toolkit support selecting corrective actions and measuring results?\",\"answer\":\"It describes implementing changes to processes and systems using planned implementation steps, including the Plan, Do, Study, Act (PDSA) cycle. It also includes worksheets for goal setting, measure development, corrective action planning, and PDSA cycle execution.\"}]","Root Cause Analysis Toolkit for Long Term Care | PDF",1789205220]