Teaching Root Cause Analysis Using Simulation: Curriculum and Outcomes

Journal of Medical Education and Curricular Development (12/18/19) Aboumrad, Maya; Neily, Julia; Watts, Bradley V.

The U.S. Department of Veterans Affairs (VA) developed an experiential learning strategy to teach root cause analysis (RCA) to clinicians in the VA's Chief Resident in Quality and Safety program using simulation. Ninety-three of 114 invited clinicians agreed to participate, and most (99%) said they felt at least moderately to extremely ready to conduct and teach RCA post-training. Learning objectives included basic structure of an RCA, how to perform an initial understanding and final event flow diagram, how to collect data information for RCA, how to execute cause and effect diagramming to obtain actionable items, and how to develop actions and outcomes. The researchers found that experiential learning with simulations may be a useful way to improve clinician skill in quality improvement and patient safety practices, including RCA. "Further research is warranted to understand how the training affects clinicians' capacity to participate in real RCA teams post-training, as well as applicability to other disciplines and interdisciplinary teams," the authors concluded.

Read More

Recent Stories
Re-Thinking the Design of EMS Continuing Education Programs

Toward Competency-Based Continuing Professional Development for Practicing Surgeons

Exceptional Care, Exceptional Performance: The Continuing Medical Education Program's Impact on Quality and Performance Improvement