Certified Nurse Manager and Leader (CNML) Practice Test

Root Cause Analysis (RCA) utilizes which method to identify underlying issues?

1. Survey-based feedback

2. Benchmarking against competitors

3. Asking 'why' multiple times

4. Statistical process control

The correct answer is: Asking 'why' multiple times

Root Cause Analysis (RCA) employs the method of asking "why" multiple times to drill down into the fundamental reasons for problems or events. This technique, often referred to as the "5 Whys," encourages a deeper exploration of the issues at hand and aims to move beyond surface-level symptoms to uncover the underlying causes. By continually questioning the rationale behind each response, practitioners can trace the issue back to its root, which is essential for developing effective solutions and preventing future occurrences. This iterative questioning process helps to identify not only the immediate cause but also systemic factors that contribute to the issue. By understanding these root causes, organizations can implement targeted changes rather than just addressing the symptoms, leading to more sustainable improvements in quality and patient safety. The other methods mentioned have their own purposes but do not function in the same way as the repeated questioning approach. Survey-based feedback gathers input from stakeholders but may not always reveal deep-rooted causes. Benchmarking against competitors provides performance comparisons but lacks the investigative depth of RCA. Lastly, statistical process control focuses on monitoring processes through statistical methods rather than delving into the underlying reasons for failures or variances.