Industry Experts Lead Interactive Root Cause Analysis Workshop

Posted on October 17, 2019

Seventy MHA Keystone Center members attended a Root Cause Analysis and Action (RCA²) training Oct. 8 in Lansing. 

Attendees worked in small groups through a simulated event, which consisted of developing an initial flow diagram, preparing for staff interviews, and learning how to document and standardize the RCA² process.

The RCA² method helps guide healthcare staff when examining adverse events by systematically uncovering process-level issues and implementing appropriate corrective actions. The root cause analysis process is essential to reduce and eliminate harm. 

The training is based on the National Patient Safety Foundation’s RCA²: Improving Root Cause Analyses and Actions to Prevent Harm guidelines and is administered by James 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 Joseph DeRosier, PE, program manager, CHEPS. 

Attendees of the workshop will connect on a Dec. 5 follow-up coaching call, when participants can share how they have applied the knowledge gained from the RCA² training to their root cause analysis process. For more information, contact the MHA Keystone Center



Tags: patient safety, MHA Keystone Center PSO, root cause analysis, National Patient Safety Foundation, Institute for Healthcare Improvement

Posted in: Patient Safety & Quality

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