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Get the free Root Cause Analysis Worksheet Jan 2010.doc - health state mn

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St. Cloud Hospital Root Cause Analysis (RCA) Worksheet Adapted from a template utilized by Good Samaritan Hospital, Dayton, Ohio Attachment D RCA #: Date of the Event: Day of the Week Time No Yes
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The root cause analysis worksheet is a tool used to identify the underlying causes of a problem or incident.
The individuals or organizations involved in the problem or incident are required to file the root cause analysis worksheet.
To fill out the root cause analysis worksheet, you need to identify the problem, gather relevant data, conduct a thorough analysis, determine the root causes, and propose corrective actions.
The purpose of the root cause analysis worksheet is to find the underlying causes of a problem or incident in order to prevent its recurrence.
The root cause analysis worksheet should include information about the problem or incident, the identified root causes, the analysis process, and the proposed corrective actions.
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