Root Cause Analysis -- Fail!

Enrollment Information:
This enrollment will expire September 30, 2019.
You must complete all course requirements (including claiming CEs) and save/print the completion certificate by September 30, 2019.


A great deal of time and energy is spent conducting root cause analyses and developing action plans for sentinel events. Yet organizations continue to have the same sentinel events repeated over and over again. The purpose of this activity is to enable the learner to outline the key reasons RCAs fail to improve patient safety and provide strategies to improve the RCA process that will help organizations break the cycle.  


Learning Objectives:
By the end of this self-study you should be able to:

  • Define the key reasons RCAs fail to improve patient safety in healthcare organizations;
  • Describe the role latent errors play in creating an environment that is certain to cause patient harm;
  • Provide an RCA framework that incorporates the Systems Engineering in Patients Safety work model to better analyze sentinel events and improve action and monitoring plans;
  • Outline methods for risk managers to work with the C-suite to create buy-in and support for improving the RCA process.


Level of Learning:


Domain of Practice:
Healthcare Operations


Lisa Ramthun, CPHRM


Criteria for Successful Completion:
To receive continuing nursing education contact hours, participants must achieve 80% on the post-test and complete an evaluation at its conclusion.


Continuing Education:
This program is approved contact hours toward the fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and toward CPHRM (Certified Professional in Healthcare Risk Management) renewal. CE credit may be used toward CPHRM renewal only by those holding the credential at the time of the program.

American Society for Healthcare Risk Management is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Contact Hours: 1.0 hour
Passing Score: 80%


Conflict of Interest Statement:
This educational activity’s planners and presenters have indicated that they have no bias or conflict of interest.


Commercial Support:
There is no sponsorship for this event.


Date Published:  March 2014
Date of next review:  August 2019
Date of Contact Hour Expiration:  August 2020

Credit Information

Activity Number Credit Amount Accreditation Period
ASHRM & ANCC 1 hour September 01, 2018 - August 31, 2019