This free hands-on interactive training will be facilitated by James P. Bagian, MD, PE, Director of the Center for Healthcare Engineering and Patient Safety (CHEPS) at the University of Michigan; and Joseph M. DeRosier, PE, CSP, Program Manager for CHEPS. The workshop will be tailored to healthcare professionals who wish to increase their knowledge of the Root Cause Analysis and Action (RCA 2 ) process. Participants will be given an introduction to RCA² elements, learn how to improve their own RCAs, and work through a real-world RCA using a case study designed for this session.