PATIENT SAFETY: IHI PS 201 ROOT CAUSE ANALYSES AND
ACTIONS (ACTUAL 2025/2026) QUESTIONS AND CORRECT
VERIFIED ANSWERS 100% LATEST UPDATE
RCA2 can be useful in health care because:
(A) It holds people accountable for their actions.(B) It helps to identify system failures that can be corrected.(C) It helps to assess the potential risk of introducing a new idea or process.(D) All of the above B
RCA2 makes health care safer by focusing on systems failures and improving processes. It does not blame individuals for their actions and is not a method for enforcing accountability. It is not a method for assessing the risk of introducing a new idea or process.
An RCA2 team is launching an investigation of a surgical error. If they complete an effective review, which of the following is an example of a root cause they might identify?
(A) The surgeon did not listen to the nurse.(B) The patient was male. 1 / 2
(C) The hierarchy in the operating room had a negative effect upon communication.(D) All of the above C
RCA2 is meant to identify system failures that place patients at risk.Poor communication due to hierarchy is an example of an inherent problem in the system that could cause it to fail. If the surgeon failed to listen to the nurse, it would be a symptom of this larger problem.
Which of the following is a recommendation for effective interviewing during RCA2?
(A) Avoid writing questions ahead of time to keep an open mind.(B) The entire RCA2 team should be present at each interview to hear first-hand accounts.(C) Set the right tone by expressing your own regret about what happened.(D) Speculate why you personally believe the incident occurred.C
RCA2 interviews are often emotional and require sensitivity. To set the right tone for the interview, especially with a patient or family member, it is appropriate to express your regret that an unfortunate outcome or near miss occurred. However, do not speculate at this point what caused the incident. Each interview should involve only one or two RCA2 team members. Ideally, the team should work together to prepare the interview questions ahead of time.
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