Root-Cause Analysis (RCA)is asystematic processused inhealthcare and pharmacy settingstoidentify the underlying factors that contributed to an error or safety event. RCA helps pharmacy staff determinewhy a problem occurredand implement corrective actions toprevent future occurrences.
* Identify the problem or event.
* Gather and analyze data.
* Determine the root cause(s).
* Develop and implement corrective actions.
* Monitor for improvement and prevention of recurrence.
* A. Determine which medication should be dispensed# Incorrect; RCA is focused onerror investigation, not routine dispensing decisions.
* B. Decipher prescriber handwriting during order entry# Incorrect; this is not the purpose of RCA, though poor handwriting may be identified as a contributing factor in an error.
* C. Increase pharmacy revenue and inventory turnover# Incorrect; RCA is aboutpatient safety and error prevention, not financial performance.
Steps in Root-Cause Analysis (RCA):Other Answer Choices Explained:References:
* ISMP (Institute for Safe Medication Practices) RCA Guidelines
* FDA Medication Error Prevention Strategies
* PTCB PTCE Exam Content Outline (Quality Assurance & Medication Safety)