HMO02 - Governance, Safety & Quality in Health This assignment requires you to identify the factors that contributed to the adverse event and undertake a root cause analysis to propose quality and safety improvements. A Root Cause Analysis (RCA) is an investigation and analysis procedure used by health services organisations following the occurrence of a "reportable incident" in a relevant health services organisation. The aim of an RCA is to identify the cause of the incident and any contributing factors, following which recommendations are made to reduce the likelihood of similar incidents occurring in the future. A "reportable incident" is a serious adverse incident that is likely to be the result of systems issues. By performing a RCA you will be required to identify the key cause(s) for the sentinel or adverse event in their chosen case study and make judgments about risk assessments and risk mitigation strategies