What happened? Why did it happen? How can we make sure it doesn't happen again? YOU HAVE QUESTIONS. You need Answers. Root Cause Analysis A Resource Guide for Healthcare Managers is here to help! By answering these basic questions, an effective root cause analysis (RCA) can boost patient safety, streamline processes, and prevent future problems. The Joint Commission requires accredited facilities to conduct an RCA when a sentinel event or near miss occurs because the process gets results . . . but only if everyone is willing to learn from mistakes and follow through with recommended plans of action. Our experts have put their years of RCA experience to work for you. This valuable guide will explain how to conduct an RCA that works and how to develop and implement effective follow-up steps that everyone can take to prevent future problems. You'll - What goes into the RCA process - Who to enlist for your RCA team - Tips for creating a blame-free atmosphere to foster open communication - How to identify all the root causes of an incident - Ways to report your results and ensure that necessary changes are made Take a look at the table of contents What is an RCA? Chapter 1: Getting started Chapter 2: Conducting an effective RCA Chapter 3: Forming your RCA team Chapter 4: Getting to the real issues Chapter 5: Presenting your findings Chapter 6: Measuring improvement and planning next steps Chapter 7: Ensuring RCA success Don't wait until something goes wrong get the root cause analysis information you need right now! This easy to use resource is accompanied by a customizable CD-ROM that will assist you - Boosting patient safety - Streamlining processes - Preventing future problems