This eBook explains how healthcare organisations can improve RCA to better prevent patient harm by moving beyond compliance toward systems-based learning, quality improvement, and stronger corrective actions. It highlights common RCA weaknesses such as poor follow-through, weak interventions, and limited organisational learning.
The Guide promotes the RCA² approach, which emphasises:
- Risk-based prioritisation,
- Strong and sustainable corrective actions,
- Measurement of effectiveness,
- Leadership accountability,
- And a just culture.
A key focus of the updated edition is the impact of AI on RCA processes. The eBook explains how AI can enhance incident triage, data analysis, pattern detection, trend monitoring, and action tracking to improve speed, consistency, and organisational learning. However, it stresses that AI should augment – not replace – human judgment and must be supported by strong governance and oversight.