Comprehensive Care Standard 5

The goal of the Root Cause Analysis (RCA) process is to find out what happened, why it happened, and to determine what can be done to prevent it from happening again.

This RCA training is being conducted as two, 3-hour virtual interactive sessions over two days. It will take you through all the steps to conduct an RCA for severe harm and frequent clinical incidents. The training will introduce you to systems thinking and focus on improving and redesigning systems and processes to prevent harm to future patients. A key aspect to be explored will be the relationship between the system of care and individual human performance to improve the effectiveness of recommendations.

Due to the popularity of this course and in response to feedback, we have now changed the course to two X 3-hour sessions and we are limiting the number of participants to 100. Book early to avoid disappointment. Should you miss out, there is another session scheduled for November.

Key Learning Outcomes

  • Understand how Root Cause Analysis links with Clinical Incident Management and Quality Improvement as per the Clinical Governance Framework and Standard 1 NSQHS second edition
  • Understand the policy and legislative requirements of undertaking a Root Cause Analysis
  • Have a practical understanding of the steps of the RCA process
  • Develop skills in conducting staff interviews to identify the sources of clinical process failure
  • Be able to develop recommendations which provide strong evidence of effectiveness including how to distinguish between special and common cause variation
  • Learn the methodology of plan, do, study, act (PDSA) cycles as a core technique for testing recommendations
  • Be able to formulate an implementation plan to ensure recommendations drive continuous improvement in patient quality and safety.


WHEN:    Day 1: Tuesday, 19 October 2021 at 11 am - 2 pm (AEDT)
Day 2: Wednesday, 20 October 2021 at 11 am - 2 pm (AEDT)
  • $240 inclusive 10% GST (Single Registration)
  • Organisations who register three or more participants, will be eligible for a 15% discount for each registration ($204)
DURATION:   6 Hours
HOST:   Adj Assoc Professor Bernie Harrison, Director of the ACHS Improvement Academy
WHO:    Clinical managers and medical heads of departments, surgical and procedural team leaders, directors of patient safety, patient safety officers and frontline clinicians who provide care and services to patients.
HOW:    Interaction via ZOOM


Click Here to Register through Eventbrite


Cancellation Policy

The ACHS reserves the right to cancel any program.  Full registration will be refunded if a program is cancelled or oversubscribed.



Cancellations received in writing by ACHS more than 7 days prior to the event will be accepted and all fees refunded less 10% (ex GST) of the total cost of the training. Cancellations received within 7 days of the event will not be refunded, however, transfer of your registration to another person is acceptable.

Last Review Date 08 September 2021

I have been involved with Accreditation and the ACHS for 19 years and have found them to be a leading accrediting agency, if not the best for health care organisations.

ACHS member response to survey