Guide to Performing a Root Cause Analysis (Revision …

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1 Guide to Performing a root Cause Analysis (Revision 02/05/2021) Published by VHA National Center for Patient Safety (NCPS) 2 Table of Contents Introduction ........................................ ........................................ ........................................ ................... 4 Purpose of the Guidebook ........................................ ........................................ ................................. 4 Determining when a root Cause Analysis is Required ........................................ ..................... 5 Characteristics of a root Cause Analysis ........................................ ........................................ ..... 5 root Cause Analysis Flow 6 Steps to Completing a root Cause Analysis ........................................ ........................................ 7 Step 1: Charter a Team.

protected and deemed confidential under 38 U.S.C. 5705 and the implementing regulations (VHA Directive 2008-077, Quality Management (QM) and Patient Safety ... Once it is determined that an RCA is required for a reported safety event, the facility has 45 calendar days to complete the RCA, including obtaining ... they arise to guide the team’s ...

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