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About this IHI Virtual Expedition

​Root cause analysis (RCA) is a process widely used by health professionals to learn how and why errors occur. While RCA has been part of health care and patient safety for more than 15 years, success has been variable both within and across institutions.

This Institute for Healthcare Improvement (IHI) Virtual Expedition will explore the process of Root Cause Analyses and Actions (RCA2). Expanding on RCA, RCA2 is  used to drive improvement when it comes to reviewing events that cause or may cause serious harm, and in developing and implementing sustainable and measurable actions that prevent future harm to both patients and staff.

What You'll Learn

At the end of this Virtual Expedition, participants will be able to:

  • Identify the current state of root cause analysis (RCA), and why improvements are essential
  • Describe the methodology and processes associated with RCA2
  • Utilize tools that are used in the RCA2 process
  • List approaches for evaluating the success of RCA2

The continuing education credits for this IHI Virtual Expedition are currently being finalized.


Session 1: Understanding RCA2: The Process of Event Review
Date: Wednesday, January 10, 2018, 12:00 PM–1:00 PM ET

Session 2: Identifying and Classifying Events for Review
Date: Wednesday, January 24, 2018, 12:00 PM–1:00 PM ET

Session 3: Event Review: Determining the Team and Engaging the Patient
Date: Wednesday, February 7, 2018, 12:00 PM–1:00 PM ET

Session 4: Event Review: Finding and Mapping the Facts
Date: Wednesday, February 21, 2018, 12:00 PM–1:00 PM ET

Session 5: Event Review: Determining the Cause and Effective Actions
Date: Wednesday, March 7, 2018, 12:00 PM–1:00 PM ET

Session 6: Implementation, Measurement, and Feedback
Date: Wednesday, March 21, 2018, 12:00 PM–1:00 PM ET


Rollin_Fairbank.jpgRollin J. (Terry) Fairbanks, MD, MS, FACEP, CPPS is Associate Director of the MedStar Institute for Innovation (MI2), where he is responsible for the National Center for Human Factors in Healthcare and the Simulation Training & Education Laboratory (MedStar SiTEL). Dr. Fairbanks also serves as an attending physician in the emergency department at MedStar Washington Hospital Center. In addition, he is an Associate Professor of Emergency Medicine at Georgetown University and maintains an academic appointment as Adjunct Associate Professor of Industrial and Systems Engineering at the University at Buffalo. Dr. Fairbanks's unique background in human factors and industrial systems engineering, along with his experience as a board-certified emergency physician and a former paramedic and EMS medical director, enables him to apply safety engineering techniques and research methodologies to medical systems. Dr. Fairbanks was a member of the core working group that developed RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.