Patient Safety Organization Members Learn about Adverse Events

Posted on November 30, 2017

Jim Bagian kicks off RCA training.MHA Keystone Center Patient Safety Organization (PSO) members had the opportunity to convene in Bay Harbor for two recent learning opportunities — the MHA Keystone Center PSO Rural Health Safe Table and the MHA Keystone Center Root Cause Analysis and Action (RCA²) training. Both meetings taught attendees how to use adverse events and near misses to uncover crucial opportunities to improve patient safety.

The MHA Keystone Center PSO Safe Table was held Nov. 28 (see related article: Safe Tables Invaluable Tool for Healthcare Professionals). Several quality improvement managers and nurses participated in the safe table, which offered a legally protected forum to discuss current resources and corrective actions and to uncover common barriers to patient safety. Attendees reviewed culture and event reporting data relevant to critical access hospitals and learned what other organizations are doing with regard to rural-health-related issues.

Nearly 50 MHA Keystone Center PSO members attended the RCA² training Nov. 29. The event equipped participants with the knowledge and resources required to conduct robust RCAs and was the third such training offered by the MHA Keystone Center this year. The training was administered by Jim Bagian, MD, PE, director of the Center for Healthcare Engineering and Patient Safety (CHEPS) and a professor in the Medical School and the College of Engineering at the University of Michigan, Ann Arbor; and Joe DeRosier, PE, program manager, CHEPS. Featured in Monday Report. Click to view the full edition.

For more information, contact Adam Novak at the MHA.

Photo Caption: Jim Bagian, MD, PE, director of the Center for Healthcare Engineering and Patient Safety (CHEPS), kicks off the third and final RCA² training of 2017 for MHA Keystone Center PSO members. 


  • Patient Safety Organization Members Learn about Adverse Events

Tags: MHA Keystone Center, Patient Safety and Quality, PSO, safe table, RCA2, rural health

Posted in: Patient Safety & Quality

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