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This workshop is designed to provide pharmacists, pharmacy technicians, and students with an understanding of root cause analysis (RCA) in healthcare, focusing on medication safety and human factors
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Define the problem clearly to understand the issue.
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Assemble a team of relevant stakeholders to provide diverse perspectives.
03
Gather data and evidence pertaining to the problem.
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Identify possible causes by using techniques such as the 5 Whys or Fishbone Diagram.
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Analyze the identified causes to determine the root cause.
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Develop and implement corrective actions to address the root cause.
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Monitor the effects of the changes to ensure the problem is resolved.
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Document the entire process and findings for future reference.

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Root Cause Analysis (RCA) is a systematic process used to identify the underlying reasons for a problem or an event. Its goal is to determine what happened, why it happened, and how to prevent it from happening again.
Typically, individuals or teams involved in incident management, quality assurance, or risk management are required to file Root Cause Analyses. This may include healthcare professionals, safety officers, or anyone responsible for managing incidents within their organization.
To fill out a Root Cause Analysis, start by clearly defining the problem or incident. Gather data and evidence related to the occurrence, identify contributing factors, analyze the root causes, and develop corrective actions to prevent recurrence. Document all findings and ensure clarity and accuracy.
The purpose of Root Cause Analysis is to prevent future incidents by identifying and addressing the root causes of problems. It aims to enhance safety, improve quality, and promote continuous improvement within organizations.
A Root Cause Analysis report should include a description of the incident, date and time it occurred, involved personnel, data and evidence supporting the analysis, identified root causes, contributing factors, corrective actions recommended, and follow-up plans to ensure effectiveness.
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