Continuous Improvement: Root Cause Analysis tools

Continuous Improvement: Root Cause Analysis tools Following on from of 2016/17 s Quality Improvement work across the whole community pharmacy network, teams were asked what they felt they needed more support with in order to direct 2017/18 s activities. A few common themes were identified, the strongest of which was that staff felt that they would appreciate a focus on really getting to the bottom of near misses and dispensing errors to learn as a team and prevent them from happening again. When something doesn t go to plan, investigating why this might have happened takes a bit of problem solving, and is also known as Root Cause Analysis (RCA). This pack includes several simple RCA tools and explanations of how to use them, so that you and your teams can try them out and find one (or more!) that you feel comfortable using. Mistakes can be upsetting for some people, but they can also be seen as a great learning opportunity for everyone, as long as the right tools and attitude are applied.

The Five Whys This is probably the simplest RCA tool that can be used to find the underlying factors which may have lead to a mistake being made, but it is also very effective when used

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