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Table A-1. Root Causes - Joint Commission
The Joint Commission’s Framework for Root Cause Analysis and Action Plan provides an example of a comprehensive systematic analysis. The framework and its 24 analysis questions are intended to provide a template for analyzing an event and an aid in organizing the steps and information in a root cause analysis.
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[DOC File]UPX Material - University of Phoenix
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Analysis Questions Considerations Root Cause Analysis Findings Root Cause (Y/N) What was the intended process flow? List the relevant process steps as defined by the policy, procedure, protocol, or guidelines in effect at the time of the event. Were there any steps in the process that did not occur as intended?
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[DOC File]Root Cause Analysis (RCA) Short Form Version 2
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Service Tracking ID: DoD Root Cause Analysis (RCA) Short Form . The documents, records, or information contained herein which resulted from a quality assurance review, are confidential and privileged under the provisions of 10 USC 1102 and its implementing regulations.
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[DOCX File]UPX Material - University of Phoenix
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Root Cause (Y/N) What was the intended process flow? List the relevant process steps as defined by the policy, procedure, protocol, or guidelines in effect at the time of the event.
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[DOC File]Root Cause Analysis Investigation Report
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Root causes (numbered) These are the most fundamental underlying factors contributing to the incident that can be addressed. Root causes should be meaningful, (not sound bites such as communication failure) and there should be a clear link, by analysis, between root CAUSE and EFFECT on the patient. 1, 2 +3 Root causes
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How to Carry Out A Root Cause Analysis - Health & Safety
Root Cause Analysis, also often referred to as Fault Tree or Event Tree Analysis, is a process to enable the user to readily identify the root causes of an incident/accident. Purpose The purpose is to provide a swift and effective way to prevent incident/accident recurrence which can potentially be extremely damaging to a business.
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Internal Audit Checklist Form
Often the root cause is not obvious and thus a careful analysis of all potential causes of the problem is required. Potential causes could include customer requirements, the samples, sample specifications, methods and procedures, staff skills and training, consumables, or …
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NETWORK 11 - 5 Diamond Patient Safety
Root Causes – reasons that a process is not functioning as designed . Barriers – impediments to changing a process or to improving the outcomes related to that process. Brainstorming – a structured group session to generate a list of ideas about an issue in a short period of time
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Dynamic Work & Collaboration Software | Smartsheet a ...
It is intended only to promote safety and reduce risk. Forward completed report to all Root Cause Analysis team members in addition to the following individuals: FULL NAME. TITLE/ORGANIZATION.
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[DOC File]Cause and Effect (“Fishbone”) Diagram
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List sub-causes and place them under the main causes. To determine sub-causes, ask why five times. Evaluate the diagram. Check that the branches on your cause and effect diagram are worded as possible causes and are arranged in a logical sequence. Effective Use: 1. Have a narrowly defined problem or effect to start. 2.
root causes for safety incidents

Safety root cause list