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Root Cause Analysis (RCA) Tool Kit
Purpose
This tool kit contains tools and resources for education and use during Root Cause Analysis (RCA) processes. RCA is a retrospective (looking back) systematic approach to understanding the causes of an adverse event and identifying system flaws that can be corrected to prevent the error from happening again. It is not appropriate in cases of negligence or willful harm.
Clinical Nursing Practice Committee
| Tracie White, DNP, ACNP-BC, CRNFA, CNOR | Chair |
| Christina Alvarado, BSN, RN, CNOR | Chair-Elect |
| Katey Nguyen, BSN, RN | Member |
| Kay Smith, MLD, BSN, BA, RN, CNOR | Member |
| Tanna Smith, MSN, RN, CNOR | Member |
| Theodore Walker, APRN, A-CNS, CNOR, NPD-BC, CPPS | Member |
| Julie Cahn, DNP, RN, ACNS-BC, CNS-CP, NPD-BC, CNOR | Member |
| Heidi Nanavati, MSN, CRNP, CNOR | Board Liaison |
| Renae Wright, DNP, RN, CNOR, EBP-C | Staff Liaison |
| Zach Swartz, MHI, BSN, RN, CNOR, EBP-C | Staff Liaison |
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