Workshop Will Provide Methodologies to Prevent Future Harm

Posted on September 04, 2019

Participants in a past RCA training.The MHA Keystone Center Patient Safety Organization (PSO) Root Cause Analysis & Action (RCA²) Workshop, which will be held 8 a.m. to 5 p.m. Oct. 8 at the James B. Henry Center for Executive Development, will introduce MHA members to RCA² elements and develop a foundation to identify and classify adverse events.

The RCA² process is a key component to improving safety practices organizationwide. It identifies the sequences of events, underlying causes and contributing factors of a patient harm event and emphasizes the importance of corrective actions to prevent future incidents.

Jim Bagian, MD, PE, director, Center for Healthcare Engineering and Patient Safety, Ann Arbor, and professor, University of Michigan; and Joe DeRosier, PE, CSP, program manager, Center for Healthcare Engineering and Patient Safety helped develop the RCA² process and will serve as event facilitators.

The full-day, interactive event will guide attendees through the Triggering Questions Flipbook and a Cognitive Aid for the Root Cause Analysis (RCA) Process Guidebook and provide skills and knowledge to support RCA efforts of trainees when they return to their organizations.

Following the workshop, a one-hour coaching call will take place Dec. 5, which will provide guidance by Bagian and DeRosier on RCA² progression and sustainability. This call will also allow hospital teams to report on recent RCA² activities.

Registration is open to all MHA members. For additional information, members may contact the MHA Keystone Center.


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  • Workshop Will Provide Methodologies to Prevent Future Harm

Tags: MHA Keystone Center, Patient Safety and Quality, PSO, RCA2

Posted in: Member News, Patient Safety & Quality

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