IHI Redesigning Event Review with Root Cause Analyses and Actions (RCA2)
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Want to learn more? Join our informational call on July 22, 2025, 11:00 AM – 12:00 PM ET.
Program includes self-paced online content, three live All-Learner Calls, social learning with your peers, and access to one-on-one coaching with expert faculty.
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Want to learn more? Join our informational call on July 22, 2025, 11:00 AM – 12:00 PM ET.
When accidents occur in health care, providers and health systems have an urgent responsibility to respond to prevent future harm.
In this online course, you'll learn to improve your event review process with a unique approach — endorsed by leaders in patient safety across the United States and abroad — that expands upon traditional root cause analysis.
Moving swiftly after a safety incident occurs, you'll learn to establish a small team to conduct interviews, develop a flowchart, and pinpoint vulnerabilities in your system: poor equipment design, inadequate training, or insufficient resources.
Most importantly, by the end of the course, you'll gain tools and strategies to address these vulnerabilities with sustainable actions that really work to prevent future harm. This is the focus of Root Cause Analyses and Actions — or RCA2.
Session Agenda
This program consists of 3 live online sessions and self-paced activities to be completed outside of the live sessions. Self-paced activities between sessions are required and should take no longer than one hour to complete per session.
The agenda for the September 2025 offering is available to download:
Continuing Education

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.
Continuing education credits for this program are still being finalized and will be updated shortly.
After attending this course, attendees will be able to:
- Define an improved event review process with a unique approach that expands upon traditional root cause analysis.
- Identify how to form a multidisciplinary team to collect data and evaluate current state.
- Apply evidence-based tools and techniques to address vulnerabilities with sustainable actions to prevent future harm.
Planning Committee
Jessica Behrhorst, MPH, CPPS, CPQH, CPHRM, Quality, Safety and HRO Consultant
Britney Pierre, RN, MAS, BSN, Senior Project Manager, Institute for Healthcare Improvement
Lauge Sokol-Hessner, MD, CPPS, Clinical Associate Professor, Medicine, University of Washington
Disclosure: None of the planners, presenters, or staff for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
CE Instructions
In order to be eligible for a continuing education certificate, attendees must complete the online evaluation within 30 days of the continuing education activity. After this period, you will be unable to receive a certificate.
Continuing education credits will not be awarded for non-educational activities, including (and not limited to) meals, breaks and receptions.
Already attended?
To view continuing education (CE) credits and session materials:
- Click on the "My IHI" link on the top of this page
- Once you are logged in, click on the "Credits" tab to see CE information.
- Click on the "My Participation" tab and then the button that says "My Materials" to see course materials.
Fees & Scholarships
Scholarships
IHI is pleased to offer a limited number of free and 25% scholarships to assist with program registration costs for those working in:
- Independent, United States Federally Qualified Health Centers (FQHCs) that are not affiliated with a hospital or health system
- Critical Access Hospitals
- Independent practices with fewer than 20 physicians
- Hospitals with fewer than 50 beds
- Members of America's Essential Hospitals
- 501(c)(3) organization with a defined operating budget of less than $5 million, serving community-based populations
- Ministries of Health
- Faith-based health institutions
- Skilled Nursing Facilities
Scholarship applications are due August 22, 2025. Scholarship decisions will be announced on August 29, 2025.
All Scholarships are reviewed on an individual basis. If multiple individuals from the same organization wish to apply for a scholarship, each individual must submit an application. Group discounts are also available, see information above.
To ensure equal distribution of funds, all scholarships applications are reviewed using the same scoring criteria. All awarded amounts are final.
Review IHI Cancellation Policy
Logistics
Start Today
- Click on the Register button to login or create an account.
- Visit the IHI Education Platform to view program details and complete your registration for the training.
- Invoices can be found and paid through your My Account section.
Maricia Silvera-Batson, RN
Scarborough Health Network
Scarborough Health Network
"This course is great for the novice to the expert in regards to RCA knowledge. It can be completed while working a full-time job. The content is very relevant to anyone responsible for conducting RCAs and is jammed packed with exceptional resources and examples."
James Laughton, MD
Hamad Medical Corporation
Hamad Medical Corporation
"Excellent course, as usual, from IHI. The quality of content and learning continues to be inspiring."
Missy Polito
West Virginia University Medicine
West Virginia University Medicine
"This course was the 'icing on the cake' for me. I have been performing RCAs for over 5 years and was able to relate easily to each of the lessons. These lessons confirmed what I already knew, but also provided additional details and learning to expand upon my knowledge of the RCA process."
Improvement Area: Workforce Safety
Workforce Safety
Operating within a safe environment, physically and mentally, is crucial to individual preparedness for the manual and cognitive challenges characterizing health care workflows. Workforce safety recognizes the imperative to protect workforce members from physical harm so that they can deliver high-quality care, and recognizes the vital importance of psychological and emotional safety for engaging, communicating, and collaborating effectively to safely deliver patient care.
As described in Safer Together: A National Action Plan to Advance Patient Safety, health care organizations across all care settings can optimize workforce performance and safe, high-quality outcomes by:
- Ensuring work environments are free from physical hazards
- Seeking to learn from workforce harm events in parallel to patient harm events
- Shaping a culture of safety for both patients and the workforce
- Creating psychologically safe work environments
- Fostering perceptions of belonging in the workforce through activation of a just culture at all levels
- Nurturing a bias-free environment supported by diversity, equity, and inclusion across the workforce at all levels, which contributes to psychological and emotional safety and belonging
IHI aims to integrate workforce safety, workforce well-being, and patient safety, grounded in evidence and the science and methods of improvement, to ensure that every patient receives safe, reliable, effective, and equitable care from a fully-enabled health care workforce.

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Patient Safety
IHI aims to advance a total systems approach to safety, grounded in evidence and the science and methods of improvement, to ensure that every person receives safe, reliable, effective, and equitable care.
Workforce Well-Being and Joy in Work
The well-being and engagement of the health care workforce impacts health care quality, workforce safety, patient safety, and patient experience.
