Patient Safety Topics
:
Root Cause Analysis
Overview

​Root Cause Analysis (RCA) is a tool that patient safety professionals can use to conduct a thorough investigation of a patient safety event. In this section, you will find a collection of forms and resources to assist you in facilitating and documenting the RCA process.

Key Data and Statistics
Educational Tools

Root Cause Analysis Investigation Form

This form can be used to facilitate and document the steps of a root cause analysis.

Guidance Document for Root Cause Analysis Investigation Form

This document is a supplementary tool to be used with the Patient Safety Authority Root Cause Analysis (RCA) investigation form.  It will guide you step-by-step on how to complete the RCA form.  

Event Analysis Timeline Attachment (blank) & (PDF)

This template can be used to construct a timeline of an event.

Event Analysis Cause and Effect Diagram Attachment

This template can be used to construct a fishbone-style cause and effect diagram.

Event Analysis Interview Documentation

This form can be used to track questions and responses from interviews conducted during an investigation.

Action Agenda

This form can be used to track the implementation of improvement strategies.

Specific Event Type Prompts:

Medication Event Investigation Prompts

This is a list of questions and factors to consider when investigating a medication event.

Suicide Event Investigation Prompts

This is a list of questions and factors to consider when investigating a death by suicide.

Lab Event Investigation Prompts

This is a list of questions and factors to consider when investigating a lab event.

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Safety Tips for Patients

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