Creation of root cause analysis and action (RCA²) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture events

Article:

The journal article titled "Creation of Root Cause Analysis and Action (RCA²) Standard Work by a Multidisciplinary Team to Prevent Harm, Reduce Bias, and Improve Safety Culture Events" presents a transformative approach to enhancing safety culture in healthcare environments. By detailing the development and implementation of a multidisciplinary team dedicated to rapid event analysis, this study offers a proven framework to prevent harm, reduce bias in investigations, and strengthen overall safety protocols. The creation of standardized tools for event communication, coupled with innovative strategies for staff resiliency support, directly addresses key barriers in healthcare safety processes. Key findings include significant reductions in interview times, faster event finalization, and a measurable decrease in staff anxiety. The study also highlights a reduction in non-fall-related safety events, demonstrating that the RCA² approach leads to both immediate and long-term improvements in patient and staff safety. This comprehensive methodology not only shortens cycle times but also builds a culture of continuous monitoring and accountability, ensuring sustained improvements in safety outcomes. Volume 44, Number 3, Q1 2025

Criteria for Successful Completion:
To receive CEs, participants must read the article within the Journal and achieve, an 80% on the quiz.

Continuing Education:
This program is approved contact hours toward the fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and toward CPHRM (Certified Professional in Healthcare Risk Management) renewal. CE credit may be used toward CPHRM renewal only by those holding the credential at the time of the program.

Contact Hours: 1.0 hour
Passing Score: 80%

Article Authors:

Donise Musheno MS, RN, CPHQ, Mary Harnish MSN, RN, CPPS, Justin Roberts DO and Andrew Smokowicz MHA, CPHRM

Questions? Contact ASHRM@aha.org