Six steps to root cause analysis

Consequence UK
Publication year:
Place of publication:
3rd ed.

Root cause analysis is a problem solving methodology for discovering the real causes of problems or difficulties, including adverse incident management. This text provides guidance to staff undertaking investigations into adverse events in health and social care. These include concise or full investigations, serious case reviews and safeguarding vulnerable adults investigations. It aims to provide a clear and structured methodology to provide a consistent approach to incident reviews. The process also ensures openness with the patient and/or victim, the family, the staff involved and agencies central to the process. The six steps cover the following areas: commissioning an investigation; collecting, sorting and mapping information; collecting answers and initial analysis; exploring the critical problems identified and isolating influencing factors; making recommendations; and writing the investigation report. Appendices include easy to use investigation and RCA tools and tips for investigative interviewing.

Subject terms:
interviewing, investigations, problem solving, risk assessment, serious case reviews, safeguarding adults;
Content type:
practice guidance
ISBN print:
978 0 9544328 2 9

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