Adverse Event Strategy Guide and Root Cause Analysis Toolkit

You deserve the best care. But sometimes, adverse events still happen. We take these events very seriously and have created the UPMC Adverse Event Strategy Guide and Root Cause Analysis Toolkit to review and analyze these events. We focus on:

• Compassionate and direct communication
• Clear sharing of details
• Finding an event’s cause
• How to limit risk in the future

The Root Cause Analysis Toolkit gives staff and leaders what they need to address adverse events. It also helps plan actions to stop them from happening again in the future.