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Task 2.docx Running head: Organizational Systems Task 2

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Task 2.docx  Running head: Organizational Systems Task 2                                                                               1  Task 2  Organizational Systems and Quality Leadership  SAT Task 2  Western Governors University  Organizational Systems and Quality Leadership SAT Task 2  A. Root Cause Analysis  When an error occurs in healthcare, a team of four to six people come together to try and figure out what caused the event and find defects in the system. The group tries to understand what happened in hopes of preventing it from happening in the future. This is called a root cause analysis and rather than focus on blame, it focuses on what caused the event. A root cause analysis is not suitable if the event is caused by negligence or willful harm.  A1. RCA Steps  When conducting a root cause analysis, the RCA team uses six steps to complete the process. Step 1 is figuring out what exactly

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