CHA News Article

CHPSO Continues Monthly Causal Analysis Learning Series

Most hospitals are acquainted with root cause analysis (RCA) and have conducted the process many times in the 17 years since the Joint Commission first required its use to investigate sentinel events. Improper use of RCA — a type of event investigation used to identify why adverse events occur and how to prevent them — can render the process not only useless but harmful if the underlying issues are not correctly identified and addressed. Too often quality and safety professionals are given little guidance or training on conducting an effective causal analysis. To help members implement their own RCA process, CHPSO is offering a complimentary, five-part webinar learning series.

Available only to members, many of the lessons learned and recommendations in the webinar series were developed through the evaluation of RCAs submitted by CHPSO members. The webinars are free of charge, but registration is required. 

Each webinar is created to stand on its own, so participation in every webinar is not required, but suggested. The remaining sessions, with registration information available at each link, are:

June 10:

Conducting a Thorough Investigation and Team Response

July 8:

Identifying Contributing and Root Causes

Aug. 12:

Developing and Implementing a Corrective Action Plan

Sept. 9:

Monitoring for Effectiveness

Registrants will receive an email a minimum of 24 hours before each webinar. Members registering within less than 24 hours of a session should contact CHPSO for participation information at (916) 552-2600.

One of the largest and oldest PSOs in the nation, CHPSO analyzes patient safety data, develops and shares best practices, and helps individual hospitals accelerate safety improvements. CHPSO membership is a complimentary benefit for members of CHA and the regional hospital associations. Membership is also available to hospitals outside of California for a fee. Contact CHPSO at (916) 552-2600 or for membership information, or view the current member list at