The Journal of Japan Society for Health Care Management
Online ISSN : 1884-6807
Print ISSN : 1881-2503
ISSN-L : 1881-2503
Learning from incidents and accidents using Rapid Root Cause Analysis
Masahiko IshikawaToshihiko Hasegawa
Author information
Keywords: RCA, RRCA, root cause
JOURNAL FREE ACCESS

2006 Volume 7 Issue 2 Pages 352-356

Details
Abstract
Root Cause Analysis (RCA) is a method of learning from both incidents and accidents and it is specifically a method to evaluate points of weakness in a medical system. Because it takes a lot of time to analyze these kind of events, we tried to analyze incidents using Rapid Root Cause Analysis (RRCA). Six RRCA teams were set up to determine root cause and contributing factors for the incidents. After just one hour the RRCA teams presented their findings and suggestions for improvement of their medical systems. There were effective ideas in each team. In conclusion RRCA is an effective analyzing tool for getting valuable results in a short time.
Content from these authors
© The Japan Society for Health Care Management
Previous article Next article
feedback
Top