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 2x 2 hour virtual interactive sessions over two days. It will take you through all the steps in conducting an RCA for severe harm and frequent clinical incidents. It will introduce you to systems thinking and focus on improving and redesigning systems and processes to prevent harm to future patients. It will explore the relationship between the system of care and individual human performance to improve the effectiveness of recommendations.  

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 can be tested using plan, do, study, act cycles
  • Be able to formulate an implementation plan to ensure recommendations drive continuous improvement in patient quality and safety.




Day 1: Tuesday, 20 July 2021 at 11 am - 2 pm (AEST)
Day 2: Wednesday, 21 July 2021 at 11 am - 2 pm (AEST)

Day 1: Tuesday, 24 August 2021 at 11 am - 2 pm (AEST)
Day 2: Wednesday, 25 August 2021 at 11 am - 2 pm (AEST)


  • $198 inclusive 10% GST (Single Registration)

  • Organisations who register three or more participants, will be eligible for a 15% discount on each registration ($168.30)



6 Hours



Adj Assoc Professor Bernie Harrison, Director of the ACHS Improvement Academy



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.



Interaction via ZOOM


Click Here to Register through Eventbrite - 20&21 July 2021


Click Here to Register through Eventbrite - 24&25 August 2021

Last Review Date 11 June 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