ReCASTing the RCA: an improved model for performing root cause analyses.

Julius Cuong Pham; George R Kim; Jeffrey P. Natterman; Renee M Cover; Christine A. Goeschel; Albert W. Wu; Peter J Pronovost

Commentary

ReCASTing the RCA: an improved model for performing root cause analyses.

May 26, 2010

Pham JC, Kim GR, Natterman JP, et al. American Journal of Medical Quality. 2010;25(3).

View more articles from the same authors.

This article describes the adaptation of the Commercial Aviation Safety Team (CAST) risk prioritization and reduction process as an improvement to root cause analysis.

Available at

Related web site

PubMed citation

Related Resources From the Same Author(s)

Establishing a global learning community for incident-reporting systems.

November 10, 2010

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

March 21, 2012

Reducing health care hazards: lessons from the Commercial Aviation Safety Team.

May 20, 2009

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

Toward improving patient safety through voluntary peer-to-peer assessment.

May 24, 2012

Cardiac surgery errors: results from the UK National Reporting and Learning System.

December 29, 2014

Measurement of quality and assurance of safety in the critically ill.

April 8, 2009

Using the opportunity estimator tool to improve engagement in a quality and safety intervention.

February 21, 2012

The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems.

October 30, 2010

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs.

October 16, 2012

Related Resources

Driving Learning and Improvement After RCA2 Event Reviews.

January 11, 2023

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units.

September 23, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.

April 13, 2019

Missed nursing care: a concept analysis.

September 27, 2017

The problem with root cause analysis.

April 22, 2017

A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change.

June 15, 2016

Using simulation to improve root cause analysis of adverse surgical outcomes.

May 29, 2014

Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering.

April 23, 2014

See More About The Topic

Quality and Safety Professionals

Safety Scientists

Root Cause Analysis

ReCASTing the RCA: an improved model for performing root cause analyses.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

ReCASTing the RCA: an improved model for performing root cause analyses.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users