Root Cause Analysis is a retrospective review of a problem undertaken in order to identify what, how, and why it occurred. The analysis is used to identify areas for change, make recommendations and implement sustainable solutions, to minimise risk or prevent re-occurrence in the future. This method is for organisational use rather than individual reflection.

For more information on root cause analysis, see Ammerman (1998) in the References. To view an example of RCA used in improving patient safety, visit the NHS National Patient Safety Agency website.