(1) Root cause analysis or RCA, of a reportable event, means a systematic process of analysis under which—
(a) factors that contributed to the happening of the event may be identified; and
(b) remedial measures that could be implemented to prevent a recurrence of a similar event may be identified.
(2) However, a root cause analysis or RCA, of a reportable event, does not include—
(a) investigating the professional competence of a person in relation to the event; or
(b) finding out who is to blame for the happening of the event.