We are standardizing our RCA process across our health system. Initially we are requiring all sites complete an RCA for SREs (at a minimum). Eventually I'd love to expand this of course.
As you are probably aware the SRE definition for medication-related events is pretty generic. It is difficult to define "serious injury". Also, I would like to include events where a lack of monitoring led to serious injury, even though it is not technically covered by the examples given.
I am wondering if anyone has done any similar work with defining when an RCA should be done for medication-related events. Interested to hear others thoughts.
TIA!