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The RCA Process An Overview The RCA Process An Overview

The RCA Process An Overview - PowerPoint Presentation

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Uploaded On 2018-11-03

The RCA Process An Overview - PPT Presentation

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

team rca decision process rca team process decision information identify plan action questions final finding triage frame overview needed

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Presentation Transcript

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