# Corrective and preventive action

> CAPA (corrective and preventive action) fixes the cause of a problem, then checks that the fix worked. Healthcare rules often say corrective action.

Source: https://incidentkit.ai/glossary/corrective-and-preventive-action · Updated Oct 5, 2026

Also known as: CAPA, corrective action, corrective action plan

## What CAPA covers

Corrective action removes the cause of a problem that has happened. Preventive action removes the cause of one that has not happened yet, such as one found in a near miss or an audit.

Each needs an owner, a due date, proof it was done and a check that it worked.

In IncidentKit, each action has an owner, due date, evidence and an effectiveness check. Nothing closes until it is verified.

## Where it is in the rules

- CMS, nursing homes: fixes that change systems and are tracked for results (42 CFR 483.75(d)(2) and (f)(5)).
- CMS, surgery centers: judge every improvement for effect (42 CFR 416.43(e)(2)).
- Joint Commission: strong actions that remove or control hazards and last, with a timeline and measures.
- OSHA process safety management: resolve incident findings fast and record the fixes (29 CFR 1910.119(m)(5)).
- FDA: device makers follow the Quality Management System Regulation (effective February 2, 2026). It adds ISO 13485 to 21 CFR Part 820.

Mix-up: CAPA is internal. A [plan of correction](https://incidentkit.ai/glossary/plan-of-correction) answers a survey finding. Training and new policies are the weakest tier in VA's ranking of actions. Use them with, not instead of, changes to equipment or process.

## Frequently asked questions

### What is the difference between corrective and preventive action?

Corrective action fixes a problem that already happened, like repeat wrong-dose events. Preventive action fixes one that could happen, like a hazard found on a walk-through.

### Is CAPA the same as a plan of correction?

No. A plan of correction is the facility's written answer to survey findings. CAPA is internal. A CAPA record can supply the proof a plan of correction describes.

### When can a corrective action be closed?

When it is done and a check against a measure set in advance shows it worked. Finishing a task shows work was done, not that the problem stopped.

## Sources

- [42 CFR 483.75: Nursing home QAPI](https://www.ecfr.gov/current/title-42/section-483.75)
- [42 CFR 416.43: ASC QAPI condition for coverage](https://www.ecfr.gov/current/title-42/section-416.43)
- [Joint Commission: Sentinel Event Policy (SE chapter), Comprehensive Accreditation Manual, Update 1, July 2026](https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/camncc_20_se_all_current.pdf)
- [OSHA 29 CFR 1910.119: Process safety management of highly hazardous chemicals](https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.119)
- [FDA: Quality Management System Regulation (QMSR)](https://www.fda.gov/medical-devices/postmarket-requirements-devices/quality-management-system-regulation-qmsr)
- [21 CFR 820.10: Requirements for a quality management system](https://www.ecfr.gov/current/title-21/section-820.10)
- [VHA National Center for Patient Safety: Root cause analysis (page and Guide to Performing a Root Cause Analysis, rev. 02/05/2021)](https://www.patientsafety.va.gov/professionals/onthejob/rca.asp)

## Related terms

- [Root cause analysis](https://incidentkit.ai/glossary/root-cause-analysis)
- [Effectiveness review](https://incidentkit.ai/glossary/effectiveness-review)
- [Plan of correction](https://incidentkit.ai/glossary/plan-of-correction)
- [Hierarchy of controls](https://incidentkit.ai/glossary/hierarchy-of-controls)
- [Performance improvement project](https://incidentkit.ai/glossary/performance-improvement-project)

## Related

- [Root cause analysis and CAPA: methods and strong actions](https://incidentkit.ai/guides/root-cause-analysis-and-capa-guide)
- [Corrective Actions: How to Close Them With Proof](https://incidentkit.ai/use-cases/close-corrective-actions)
- [Corrective Action Plan Template (CAPA, Printable)](https://incidentkit.ai/templates/corrective-action-plan)
- [Corrective and preventive actions (CAPA) tracking](https://incidentkit.ai/product/corrective-actions)
- [Plan of correction (CMS-2567): elements and 10-day deadline](https://incidentkit.ai/compliance/survey-readiness/plan-of-correction)
