Root Cause Analysis
The goal of an RCA is to find out what happened, why it happened, and to prevent it from happening again.
Healthcare Failure Mode and Effect Analysis is used to proactively evaluate a health care process.
Welcome to those who want to advance patient safety! We encourage Veterans, medical professionals and the general public to explore our site and familiarize themselves the wide range of actions VA has taken to improve patient safety.
The VA National Center for Patient Safety was established in 1999 to develop and nurture a culture of safety throughout the Veterans Health Administration. We are part of the VA Office of Quality, Safety and Value. Our goal is the nationwide reduction and prevention of inadvertent harm to patients as a result of their care.
Patient safety managers at 150 VA hospitals and patient safety officers at 21 VA regional headquarters participate in the program.
We urge you and your family to become part of our patient safety team.
For our patient safety program to be truly effective, we need you to be fully informed and actively involved in your care: Patient Safety Tips for Veterans.
Welcome! We appreciate your visit to our website and hope that VA’s approach to patient safety will offer you new ideas and insights: Tips and Tools for Medical Professionals.
We hope you find the backgrounders and other material we’ve provided improve your understanding of VA’s patient safety program.