The RCA process generally follows several key steps:
Data Collection: Gather detailed information about the adverse event, including medical records, witness accounts, and environmental factors. Problem Identification: Clearly define the issue or adverse event that occurred. Cause Identification: Use techniques like the 5 Whys method or Fishbone Diagram to identify root causes. Solution Development: Brainstorm and develop solutions aimed at addressing the root causes. Implementation and Monitoring: Implement the solutions and monitor their effectiveness over time.