Understanding what went wrong and taking action

Done well, a root cause analysis – commonly referred to as an RCA - is a key step on the path to improving the safety of patient care. Unless you probe the underlying causes of an adverse event or a "near miss," you won't know exactly WHAT happened, WHY it happened, and HOW to prevent it from happening again.

This video offers a brief overview of a three-step process called RCA2 - or Root Cause Analyses and Actions – developed in partnership with the National Patient Safety Foundation to help provider organizations improve patient safety through a better understanding of adverse events and "close calls."

Then, visit our web-based tool for step-by-step directions and the resources you'll need to conduct a thorough RCA2.