Root Cause Analysis - Training Course

Course Overview

DAY ONE

Welcome and introduction, followed by:

What Is Root Cause Analysis (RCA)
Background to RCA
Costs of Untoward serious incidents
Group exercise to discover RCA

BREAK

Introduction to the Root Cause Investigation
Case Analysis

Lunch

The Seven Steps to Safety
The Six Steps to an RCA investigation

Step One – Identifying what has happened and the information to collect
    The Risk Matrix
    The Process for Step One
    Collecting evidence

BREAK

Step Two- Sorting and Mapping Information
    Narrative Chronology
    Timeline
    Tabular Timeline
    Time Person Grid
    Change Analysis

Group exercise

DAY TWO

Step Three – Identifying Problems and prioritisation
    Affinity Mapping

Step Four – Analysing information and identifying root causes
    Critical incident meetings

BREAK

RCA analysis Tools
   1. Thought Showers (Brainstorming)
   2. Brain writing
   3. Nominal Group Technique
   4. The 5 Why’s
   5. Barrier Analysis
   6. Cause and Effect Charts
   7. Event and Causal Factor Charts

LUNCH

Step Five – Generating Solutions
    Informing
    Developing recommendations

Step 6 – Report Writing
    Guidance on content and timescales
    Final Meeting

BREAK

Final Case Study
Evaluation of course

Course Details

Supporting Information

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Gateway Training & Consultancy Limited, 296 Picton, Watkiss Way, Cardiff, CF11 0SG

Telephone: 0845 450 7644