Summary C489_Task_2_.docx

C489_Task_2_.docx C489 SAT1” SAT TASK 2: RCA AND FMEA C489: Organizational Systems & Quality Leadership Western Governors University SAT1” SAT TASK 2: RCA AND FMEA A. Root Cause Analysis Accidents happen in healthcare just as in every other aspect of life. When accidents occur, healthcare workers must determine what happened and why so that they can work to avoid similar accidents in the future. A root cause analysis (RCA) is a systematic, retrospective review of an unintentional event to determine what led to the event. An RCA will help identify problems in procedures/processes and should lead to change. RCAs are usually conducted by a team of 4-6 professionals from various levels of the organization. All members of the team should be familiar with the policies and procedures involved in the event. A1. RCA Steps There are six steps in the RCA process. 1. Define what happened. The team mus