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The RCA Investigation Process

Getting Started

Gathering and Mapping the Information

Identifying Care and Service Delivery Problems

This has been done find the document Dex Investigation Analysing the Information - Identifying Contributory Factors and Root causes

Read this account of the incident

Generating Recommendations and Solutions

Your task is to complete the Dex Action Plan outlining what steps need to be taken, and to make three recommendations in order to implement the proposed solutions

Implementing Solutions

Writing the Report


This would be the final step where the outcome of the RCA is reported to management
National Patient Safety Agency - 2009

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