Every day a million people are treated safely and successfully in the NHS.
However, when incidents do happen it is important that lessons are learned to prevent the same incident occurring elsewhere. Root Cause Analysis (RCA) investigation is a well-recognised way of doing this.
RCA Investigations identify how and why patient safety incidents happen. Analysis is used to identify areas for change and to develop recommendations which deliver safer care for our patients.
RCA Investigation Resource Centre
Good practice investigation in the NHS is supported by a single source of standardised guidance, tools, templates and training materials. These resources are available from the following link:
All Patient safety Investigation training purchased or delivered should follow the guidance provided by these resources and by the supporting Serious Incident Framework.
Healthcare Safety Investigation Branch (HSIB)
Information on the new safety investigation branch for healthcare can be found on the gov.uk website.