Patient safety remains a cornerstone of effective healthcare delivery, with Root Cause Analysis (RCA) emerging as a vital process for understanding and preventing adverse events. RCA is a systematic ...

Too often, when we investigate safety incidents, we focus on the immediate cause and not the “root cause.” They aren’t the same thing. The U.S. Occupational Safety and Health Administration defines a ...

Learn how root cause analysis and integrated data prevent hydropower bearing failures, reduce costly downtime, and improve ...

When there’s a major systems outage or performance issue, IT teams come to the rescue to restore services as quickly as possible. Some IT organizations follow IT service management (ITSM) incident ...

During a recent visit to a skilled nursing facility, a nurse made an insightful comment that stuck with me: “You can’t unscramble eggs.” This simple yet profound statement highlighted the difficulty ...

The Joint Commission has determined the 10 most common causes of sentinel events reported in the first six months of 2013. An organization reporting a sentinel event submits a root cause analysis to ...

QI in healthcare are often seen as large projects, but daily clinical work already involves quality improvement activities ...

Root-cause analysis is core to problem-solving across many fields. From hospitals searching for patient safety issues to engineers diagnosing faults in complex machinery, finding the source of a ...