05 Oct ROOT CAUSE ANALYSIS AND ACTION PLAN FRAMEWORK TEMP
ROOT CAUSE ANALYSIS AND ACTION PLAN FRAMEWORK TEMPLATE The Joint Commission Root Cause Analysis and Action Plan tool has 24 analysis questions. The following framework is intended to provide a template for answering the analysis questions and aid organizing the steps in a root cause analysis. All possibilities and questions should be fully considered in seeking “root cause(s)” and opportunities for risk reduction. Not all questions will apply in every case and there may be findings that emerge during the course of the analysis. Be sure however to enter a response in the “Root Cause Analysis Findings” field for each question #. For each finding continue to ask “Why?” and drill down further to uncover why parts of the process occurred or didn’t occur when they should have. Significant findings that are not identified as root causes themselves have “roots”. As an aid to avoid “loose ends,” the two columns on the right are provided to be checked off for later reference: When did the event occur? Detailed Event Description Including Timeline: Diagnosis: Medications: Autopsy Results: Past Medical/Psychiatric History: Bibliography: Cite all books and journal articles that were considered in developing this root cause analysis and action plan.
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