Root Cause Analysis Basics

WEBCAST ON CD OR WEBCAST ON-DEMAND

Sponsored by Root Cause Analysis Basics: A Resource Guide for Healthcare Managers

presented on October 15, 2008

What happened? Why did it happen? How can we make sure it doesn't happen again? strong>

By answering these basic questions, an effective root cause analysis (RCA) can boost patient safety, streamline processes, and prevent future problems. The Joint Commission requires accredited facilities to conduct an RCA when a sentinel event or near miss occurs because the process gets results . . . but only if everyone is willing to learn from mistakes and follow through with recommended plans of action.

You need answers.

Lisgten to this 90-minute Webcast. Don’t wait until something goes wrong—get the root cause analysis information you need right now! Our experts have put their years of RCA experience to work for you and will explain how to conduct an RCA that works, as well as how to develop and implement effective follow-up steps that everyone can take to prevent future problems.

AGENDA

1. RCA process
   1. Components of a root cause analysis
   2. Value of conducting an RCA
   3. Identify when to conduct an RCA
      
2. Joint Commission expectations
3. Techniques for conducting the RCA
   1. Identifying people, equipment, and systems involved
   2. Gathering information
   3. In-depth vs. shallow investigation
   4. The event flow chart
   5. Diagramming causes and effects
   6. Brainstorming
4. Taking action
   1. Establishing an RCA team
   2. Roles and responsibilities
   3. Common problems and obstacles
5. Monitoring the effect of change
   1. Building a blame-free atmosphere
   2. Identifying vulnerabilities
   3. Developing the action plan
   4. Implementing improvements
   5. Measuring progress
   6. Building on success

LEARNING OBJECTIVES

At the end of the programs, participants will understand:

• That RCA is not a compliance exercise; it is a technique to help prevent a re-occurrence
• RCA is a Patient Safety tool that helps us to identify the steps we need to take to prevent that reoccurrence
• What must be done for each sentinel event to be in compliance with the Joint Commission expectations
• How to implement and measure the success of corrective action
• Proven techniques for doing an RCA

BONUS TOOLS

In addition to the expertise and advice presented during this webcast, you'll also receive a slide presentation of the program materials and a tools packet that will include bonus materials. These materials are provided with PDF links.

WHO WILL BENEFIT?

Quality Improvement Directors/Staff, Patient Safety Officers/Coaches/Staff, Directors of Nursing, Chief Nursing Officers, Departmental/Unit leaders.

MEET THE SPEAKERS

Kurt Patton is a senior consultant for The Greeley Company, a division of HCPro, Inc. He brings over 30 years of healthcare management and consulting to his work with hospitals and ambulatory care facilities across the country. Patton served as Executive Director of Accreditation Services at The Joint Commission on Accreditation of Healthcare Organizations for almost eight years until his move to Arizona in December 2005. In this role, he worked with all types of accredited organizations seeking to be re surveyed, merging, evolving, acquiring new services, as well as new organizations seeking to become accredited. He managed the post survey process for all accreditation programs, which includes issuance of accreditation decisions and reports as well as monitoring the organizational database for intra-cycle monitoring events. He also supervised the staff involved in pre-survey support and analysis of organizational data to design survey duration and complement, as well as the logistics and routing of surveyors throughout the nation.

Candace J. Hamner, RN, MA, is Vice President of Care Management for Northwest Hospital Center, a LifeBridge Health center, in Randallstown, MD. In this role, she servers as the hospital's safety officer and Joint Commission survey coordinator, and she oversees the hospital's quality, performance improvement, patient safety programs, Joint Commission accreditation, utilization review, risk management, infection control, hospital volunteers, employee health, customer service, and health information management. Additionally, she has responsibility for the subacute unit, the Congestive Heart Failure community outreach program, medical library, social work, and case management. She has been actively involved in Joint Commission survey preparation since 1981 in four different hospitals.

Purchase a CD of the program and view it when you can. It's also a perfect training tool for new staff or as a refresher course for veteran staff. You will receive presentation slides and other materials that you can print and distribute to all of your peers at your location

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