RCA process much like outbreak investigation

Infection control professionals are acutely familiar with the 12 steps listed below to conduct an outbreak investigation. Doing a root-cause analysis (RCA) is not all that different, as shown in the second list:1

Steps in doing an outbreak investigation

  1. Confirm existence of outbreak.
  2. Confirm diagnosis of cases.
  3. Prepare or investigation.
  4. Create case definition.
  5. Search for additional cases.
  6. Characterize epidemic by person, place, time (line list).
  7. Generate tentative hypothesis.
  8. Test hypothesis.
  9. Institute additional studies.
  10. Implement interventions.
  11. Communicate findings.
  12. Move to process improvement.

Steps in preparing for an RCA

  1. Organize a team.
  2. Define the problem.
  3. Study the problem.
  4. Determine what happened.
  5. Identify contributing process factors.
  6. Identify other contributing factors.
  7. Measure � collect and assess data on proximate and underlying causes.
  8. Design and implement interim changes.
  9. Identify which systems are involved � root causes.
  10. Prune the list of root causes.
  11. Confirm root causes.
  12. Explore and identify risk-reduction strategies.
  13. Formulate improvement actions.
  14. Evaluate proposed improvement actions.
  15. Design improvements.
  16. Ensure acceptability of the action plan.
  17. Implement the improvement plan.
  18. Develop measures of effectiveness and ensure their success.
  19. Evaluate Implementation of improvement efforts.
  20. Take additional action.
  21. Communicate the results.

Reference

1. Frain J, Murphy D, Dash G, et al. Integrating Sentinel Event Analysis into Your Infection Control Practice. Washington, DC: Association for Professionals in Infection Control and Epidemiology; January 2004. Web: www.apic.org.

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