Identify the various steps in conducting a root cause analysis.
-How does the process consider each role’s perspectives regarding risk management?
-How does the process influence each role abilities to make risk management decisions?
What are some inherent conflicts in the team’s rolls’ regarding risk management?
How should the organization resolve differences in perspective regarding risk management?
Risk analysis and management is an important tool for any successful organization, to
prevent any damage that can be caused by a conflict. The organization should be well equipped
to handle problems before they occur. These paper discuses, risk management and how it can be
utilized to the success of an organization.
According to Jones K. root cause analysis is a process of step by step questioning in order
to establish the cause of a given problem or an error. Root cause can be used in high industries
which include nuclear power, airlines, and the military and most importantly in healthcare. There
are five steps in conducting a root cause analysis according to Jones, the first step is a physician
will gather the relevant facts and form a team to look into the matter, in this stage the physician
will determine facts by reviewing the documents that may be related to the event for example the
medical records and may further interview the patient to get the facts straight. It is in this step
that the physician develops a timeline to be observed, and develop a root cause analysis team that
comprise of all the relevant stakeholders in the facility.
The second stage is to understand what exactly happened using the team or group
briefing by a knowledgeable and skilled physician, is this sense the skilled physician will act as a
facilitator to the group. The facilitator will be responsible insetting an agenda, controlling
conflict and prevent domination by a few people in the group. In this stage ground rules are set to
keep the team focus. The third stage is identifying the root cause, in this step the root cause of a
problem is clearly stated and identified for example clearly showing the cause and the effect
relationship it has on the problem, here specific and accurate descriptions are used.
The fourth step is determining the systems improvements, in this step causal statement
can be related to current process or procedures consulting some of the relevant literature and
consulting similar hospitals of the same. The last step in root cause analysis is the action plan,
this is the implementation stage. In this stage confirm what needs to be done and who will be
accountable, and determining how the change will be successful.
The process consider each roles’ perspectives regarding risk management, in this process
each participant in the team has a duty and a task and the facilitator acts as the coach or the
controller of the group. In each step the group has to be very keen in reducing the risks involved
and to come up with measures of handling the risks.
The process influence each roles abilities to make risk management decisions, in the steps
above each individual in the group is given the opportunity to participate fully and the facilitator
controls the process to minimize dominance by some members, hence each individual in the
capacity given will be able to make risk management decisions. Some inherent conflicts in the
team’s roles regarding risk management, there are several conflicts that arise regarding risk
management, and this may include dominance of some members of the group which may bring
in conflict of interest among the group members and conflict over resources available
How should the organization resolve differences in perspective regarding risk
management, an organization need to have a clear framework of solving the risks involved, and
allow for the consensus in the process. Each of the members is entitled to an opinion, therefore a
leader or a physician need to ensure each of the persons is given an opportunity to table their
In conclusion, risk management as a tool in assessing the progression of the organization
is very vital in ensuring proper monitoring and control of conflicts in an organization. Each an
organization should lay out proper strategies to counter any developing risk.