Table 1 The seven steps for root cause analysis (RCA) team investigation details
Seven Steps to RCA [[2]] | ||
|---|---|---|
1. | Identify the incident to be analysed | Small operational team appointed |
2. | Organise a team to carry out the RCA | Agree terms of reference |
3. | Study the work processes | Agree methods for gathering evidence |
4. | Collect the facts | Interrogate, discuss and analyse evidence |
5. | Search for causes | Draft recommendations for service improvement |
6. | Take action | |
7. | Evaluate the actions taken |