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Root Cause Analysis

Structured root cause analysis for sentinel events

Complexity: Complex | Duration: 30m+ | Category: Industry/Healthcare

Tags: rca root-cause sentinel-event healthcare

Workflow Diagram​

Steps​

Step 1: Assemble team​

Agent: safety

officer - Identify RCA participants

Step 2: Gather facts​

Agent: safety

officer - Collect event information

Step 3: Create timeline​

Agent: safety

officer - Map sequence of events

Step 4: Identify causes​

Agent: quality

analyst - Analyze contributing factors

Step 5: Determine root cause​

Agent: quality

analyst - Drill to fundamental issue

Step 6: Develop action plan​

Agent: safety

officer - Create corrective actions

Step 7: Present findings​

Agent: safety

officer - Report to leadership

Step 8: Monitor effectiveness​

Agent: quality

analyst - Track improvements

Usage​

To execute this workflow:

/workflow industry/healthcare/root-cause-analysis.workflow

See other workflows in this category for related automation patterns.