Post, an explanation of the implementation of RCA in an ideal organization.

 Describe what should be done to make RCA as useful as it can be, and explain why.

 Then, describe how your health services organization, or one with which you are familiar, uses RCA or another process for investigating mishaps. Be specific and provide examples.

MY HEALTH SERVICE ORGANIZATION IS VETERANS ADMINISTRATION!

PLEASE BE SPECIFIC AND PROVIDE EXAMPLES!