C2: Reducing errors and adverse events – successful practices to optimize Root Cause Analyses and Actions (RCA2)


Saturday 4 July 2020 | 15:00-16:00


Stream: Safety


Relevant for: Everyone


Format: Workshop


This session will explore an improved method for incident investigation – Root Cause Analyses and Actions (RCA2). RCA2 introduces human factors thinking and practical tools to drive development and implementation of sustainable, measurable actions that prevent future harm to both patients and the workforce. Participants in this session will work with experts to understand and practice a framework to transform how they think about improving the safety in their organizations.


Jessica Behrhorst, Institute for Healthcare Improvement (IHI); USA