To develop an understanding of the root cause of the errors by students in a clinical setting, the Department of Family Health at the University of San Francisco conducted a Root Cause Analysis (RCA). Four questions were explored and answers analysed. As a result of the RCA three important needs were identified and a full report was shared with the managers of the unit in which the errors occurred. Managers in turn interviewed the students' preceptors to explore system issues. Consequently the f...

BPIR Categories

9.4.3 Deliver education and training
10.2.4 Use analytical techniques on data

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