QAPI Element 5

Element 5: Systematic Analysis and Systemic Action 

  • Utilizes a systematic approach to determine when in-depth analysis is required to fully understand problems, causes and implications
  • Uses a thorough and organized approach to determine how problems are identified may be caused or exacerbated by the way care or services are delivered.
  • Develop policies and procedures in the use of Root Cause Analysis (RCA) as well as demonstrate proficiency in the use of RCA.
  • Active assessment of all system to prevent future events and to promote sustainability
  • Focuses on continual learning and continuous improvement

Action Steps May Include:

  • Develop policies and procedures in the use of RCa
  • Training on RCA
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