Beyond Root Cause Analysis: Building an Effective Program

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Beyond Root Cause Analysis: Building an Effective Program

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Beyond Root Cause Analysis: Building an Effective Program

Kenneth R. Rohde

Serious events happen every day in hospitals, physician practices, clinics, and care facilities—some with very severe outcomes.

Beyond Root Cause Analysis helps risk managers, quality professionals, nursing leadership, oversight committees, and senior leadership understand how to approach adverse events, figure out what caused them, and implement realistic improvements.

This easy-to-read book is the resource you need to consult before you have to deal with an adverse event. In plain English, it guides you through setting up a program to help you deal with each step. With this book, you will be able to address adverse events, determine why they happened, and implement improvements to make healthcare safer and more effective for patients, staff, physicians, and the community.


  • A practical approach to setting up a root cause analysis (RCA) program, including issues such as who should be involved and how to communicate with leadership
  • Step-by-step advice for who should do what at which stage
  • Guidance on how to provide oversight to an RCA committee or process
  • Practical insight on how to maintain the RCA program over time
  • Real-life scenarios and case studies from healthcare organizations
  • Easy-to-read format and style that differentiate this book from other RCA textbook products

Take a look at the Table of Contents:

Chapter 1: Why Another Book on Cause Analysis?
Chapter 2: Why We Need a Good Cause Analysis Program
Chapter 3: The Big Picture: How Cause Analysis Fits Into the Overall Problem Identification and Resolution Process
Chapter 4: Basic Concepts: Correlation, Causality, and Culpability
Chapter 5: Different Levels of Cause Analysis: It’s Not Just About Root Cause
Chapter 6: Determining What Kind of Analysis to Perform
Chapter 7: Cause Analysis Flow
Chapter 8: Fact Collection and Interviewing
Chapter 9: Basic Cause Analysis Tools
Chapter 10: Developing Meaningful Corrective Actions
Chapter 11: The Causal Linkage Diagram
Chapter 12: The Action Plan and Summary
Chapter 13: Aggregation Analysis
Chapter 14: Managing the Cause Analysis Program
Chapter 15: Legal and Regulatory Implications
Chapter 16: Managing Your Corrective Actions Portfolio
Chapter 17: Automated Systems

About the Author:

Kenneth R. Rohde is a consultant based in Granby, Connecticut. He brings more than 25 years of experience in quality management to his work with hospitals and medical centers across the country. His roles in performance improvement and project management make him uniquely qualified to assist medical staffs and hospital leaders develop solutions to their toughest challenges.

Published July 2014