PS 201: Root Cause Analyses and Actions
PS 201: Root Cause Analyses and Actions
Note: This course is available as an individual course and in select subscription plans.
Overview
This course introduces learners to a systematic response to error called Root Cause Analyses and Actions (RCA2). The goal of RCA2 is to learn from adverse events and near misses, and to take action to prevent them from happening in the future. By the end of this course, you’ll have a step-by-step approach for investigating an event and improving after something goes wrong.
Course Objectives
After completing this course, you will be able to:
- Explain how adverse events and near misses can be used as learning opportunities.
- Determine which events are appropriate for Root Cause Analyses and Actions (RCA Squared).
- Describe a timeline of activities for the RCA Squared review period.
- Describe activities that should take place during the action period of RCA Squared.
Lessons
- Lesson 1: Preparing for Root Cause Analyses and Actions
This lesson introduces RCA2 and describes the key elements of the process, including the concept of risk-based prioritization.
- Lesson 2: Conducting Root Cause Analyses
This lesson describes how to conduct RCA2, focusing on actions that should occur within 45 days of an adverse event or near-miss incident. You’ll learn whom to include on an RCA2 team, how to conduct interviews and draw a high-level flowchart to understand what happened, and how to use what you learn to develop causal statements.
- Lesson 3: Actions to Build Safer Systems
This lesson takes a close look at the true purpose of RCA2: action. You will learn how to compose recommended actions so that people with appropriate authority in the system can use the findings to improve.
Estimated Time of Completion: 1 hour 15 minutes
RCA2 is a trademark of the Institute for Healthcare Improvement. IHI does not endorse any software or training for the RCA2 process that is not directly provided by IHI. Acknowledgment: This course content is based on the report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. IHI gratefully acknowledges the members of the expert panel who contributed to the report.
Continuing Education Credits
Course completion typically earns 1.25 Continuing Education credits. Please read the full details to ensure that this course offers your desired credit type. Learn more about Continuing Education credits
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The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity is approved to award 1.25 credit(s) toward Certified Professional in Patient Safety (CPPS) recertification.
This activity/program is approved by NAHQ® for 1.25 CPHQ CE credits.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
- 1.25 Medical Knowledge MOC point(s) in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
- 1.25 MOC point(s) in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program
- 1.25 point(s) in the CME component of the American Board of Anesthesiology's redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. (Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.)
- 1.25 point(s) in the American Board of Ophthalmology's Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting MOC credit.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to satisfy the Lifelong Learning requirements for the American Board of Ophthalmology's Maintenance of Certification program.
Successful completion of this activity, which includes participation in the evaluation component, offers Lifelong Learning (MOC Part 2 CME) point(s) for the following boards:
- American Board of Anesthesiology (ABA)*
- American Board of Allergy & Immunology (ABAI)
- American Board of Colon & Rectal Surgery (ABCRS)
- American Board of Pathology (ABPath)
- American Board of Psychiatry & Neurology (ABPN)*
- American Board of Plastic Surgery (ABPS)*
- American Board of Nuclear Medicine (ABNM)
- American Board of Thoracic Surgery (ABTS)
- American Board of Urology (ABU)
*Approved as a Foundational Patient Safety Activity for ABA, ABPN, and ABP
Successful completion of this activity, which includes participation in the evaluation component, offers Self-Assessment (MOC Part 2 SA) point(s) for the following boards:
- American Board of Family Medicine (ABFM) (15pts)**
- American Board of Pediatrics (ABPed) (20pts)**
- American Board of Ophthalmology (ABOP)
- American Board of Orthopedic Surgery (ABOS)
- American Board of Radiology (ABR)
- American Board of Physical Medicine and Rehabilitation (ABPMR)
**ABPed and ABFM diplomates are required to complete all the selected courses within an activity to collect MOC activity points.
It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting MOC credit.
As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.25 general continuing education credits.
By attending PS 201 offered by the Institute for Healthcare Improvement participants may earn up to 1.25 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.
Subscriptions
This course is available in the following IHI Open School subscriptions: