The RCA Process an Overview Flow Chart Process Guide RCA Team Process Decision to do an RCA RCA Team Process 3 Immediate Actions As Required RCA Team Process 4 CharterAppoint Team RCA Team Process 5 ID: 711148
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Slide1
The RCA ProcessAn Overview
The RCA Process an OverviewSlide2
Flow Chart Process Guide
RCA Team ProcessSlide3
Decision to do an RCA
RCA Team Process 3Slide4
Immediate Actions
As Required
RCA Team
Process 4Slide5
Charter/Appoint Team
RCA Team Process 5Slide6
Decision to do an RCA
Just in Time Training for Team
RCA Team Process 6Slide7
Decision to do an RCA
Establish Sequence of Events
(First Draft)
RCA Team Process 7Slide8
Decision to do an RCA
Identify
Information Gaps
RCA Team Process 8Slide9
Specify Information Required/Who is Responsible to Get It/ Timeline for Acquiring
RCA Team Process 9Slide10
Use Triage Questions and RC/Contributing Factor Interview Tools to Frame Questions
RCA Team Process 10Slide11
Conduct Fact Finding Interviews,
Chart Reviews,
and Literature Reviews
RCA Team Process 11Slide12
Synthesize Information Acquired and Review Using ‘Triage Questions’ and Other Resources
RCA Team Process 12Slide13
Synthesize
Frame Questions
Fact Finding
Information Needed
As Needed
RCA Team Process 13Slide14
Final Version of Sequence
of Events
RCA Team Process 14Slide15
Identify Root Cause/ Contributing Factors
RCA Team Process 15Slide16
Decision to do an RCA
Identify Corrective Actions That Were Instituted
Due to a Similar Event
in the Past
RCA Team Process 16Slide17
Develop Action Plan (First Draft)
RCA Team
process 17Slide18
Provide Feedback to Reporter
RCA team Process 18Slide19
Identify What was Learned and Who Needs to Know
RCA team process 19Slide20
Create Action Plan
for Director Concur/
Non-Concur
RCA Team Process 20Slide21
Iterate and Record as Necessary
RCA team process 21Slide22
Determine Approximate Cost of RCA
RCA team Process
22Slide23
Final RCA and Action Plan Sign-Off
RCA Team Process 23Slide24
RCA Advisor Conducts Follow-Up
RCA Team Process 24Slide25
Thank You!RCA Team Process Thank You