Tonex offers a 4-day root cause analysis training course for healthcare professionals. The training teaches the concepts, tools, and strategies for conducting effective root cause analyses of safety incidents in healthcare organizations. It aims to educate participants on the root cause analysis methodology and improve their skills so they can independently apply the process. The course outline covers topics like understanding root cause analysis in healthcare, the root cause analysis process, methods for analyzing incidents, and developing action plans. It is designed for healthcare managers, physicians, nurses and other professionals involved in root cause analyses.

1. ROOT CAUSE
ANALYSIS
https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
FOR HEALTHCARE PROFESSIONALS
4 days training from Tonex
TRAINING
S y s t e m s E n g i n e e r i n g

2. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Price: $2,450.00
Length: 3 Days
Root cause analysis training for healthcare professionals covers the
concepts and rationale behind root cause analysis (RCA) methodology,
as well as tools, techniques, and the strategies should be applied in
order to execute an effective root cause analysis process.
Root cause analysis (RCA), even though, comes from the
manufacturing engineering field, it has been adopted by healthcare
system and hospitals to study the events associated with patient safety
and smooth the organizational learning process. In spite of the RCA
evidence base, healthcare regulators and strategy makers have tried to
develop training programs to construct the local ability and
competencies, and this is a keystone of many organizational standards
and strategies for investigating safety-critical matters.
Therefore, root cause analysis training for healthcare professionals
intends to educate the foundation of this useful methodology and to
improve the required skills of the participants so that they can develop
and execute successful root cause analysis processes on their own in
their healthcare organizations.

3. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Audience
Root cause analysis training for healthcare professionals is a 3-day
course designed for:
• Healthcare managers
• Nurses
• Physicians
• Hospital, clinics, and healthcare facility managers
• All healthcare professionals who are involved in root cause
analysis investigation at any level

4. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Training Objectives
Upon the completion of root cause analysis training for healthcare
professionals, the attendees are able to:
• Understand the history of RCA
• Understand the definitions associated with RCA
• Comprehend the theory of RCA
• Demonstrate an in-depth knowledge of RCA process
• Work through a patient safety even using RCA
• Efficiently facilitate RCA investigations
• Apply other useful patient safety resources
• Establish effective action and preventive plan
• Evaluate the effectiveness of their action plans in patient safety

5. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Course Outline:
• Overview of RCA in Healthcare
• How a Root Cause Analysis Works
• Features Impact Clinical Exercise and Medical Error
• How a RCA Can Enhance Healthcare?
• Action Categories Defined by the National Center for Patient Safety
• RCA Characteristics
• Guidelines to Expose the Potential Causes Led to The Incident
• Healthcare RCA Methods
• Establishing Sequence of Events (Initial Flow Diagram)
• Action Plan Development
• Iterating the Actions
• TONEX Hands-On Workshop Sample

6. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Overview of RCA in Healthcare:
• RCA definition
• RCA background
• RCA applications in healthcare system
• RCA concerns in healthcare
• Where can you use RCA?
• Who should be involved in RCA?
• RCA dictionary

7. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
How a Root Cause Analysis Works:
• Building your RCA team
• Evaluating what happened
• Recognizing what should have happened
• Identifying causes (“Ask why five times”)
• Creating causal statements
• Developing an outline of recommended actions to inhibit the
repetition of the incident
• Write a summary and share it

8. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Features Impact Clinical Exercise and Medical Error:
• Patient personalities
• Task features
• Individual personnel
• Team factors
• Work ecosystem
• Organizational and management features
• Institutional framework

9. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
How a RCA Can Enhance Healthcare?
• Standardizing instruments
• Ensuring of redundancy, such as using double checks or backup
systems
• Applying compelling tasks that physically inhibit users from making
common errors
• Modifying the physical plant
• Upgrading or enhancing software
• Applying cognitive assistances, such as checklists, labels, or
reminder equipment
• Simplifying a procedure
• Training the staff
• Creating new strategies

10. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Action Categories Defined by the National Center for Patient Safety:
• Strong action
• Remove or greatly decrease the probability of an incident
• Intermediate action
• Control the root cause or vulnerability
• Weak action
• Less likely to be efficient by itself

11. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
RCA Characteristics:
• Evaluation by an inter-professional team expert in the processes
tangled in the event
• Analyzing the systems and processes instead of individual
performance
• In-depth assessment applying “what” and “why” investigations
until all features of the process are evaluated and giving features
are studied
• Determining the possible modifications that could be made in
systems or processes to enhance the performance and cut down
the possibilities of similar opposing incidents or close calls in the
future

12. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Guidelines to Expose the Potential Causes Led to The Incident:
• Communication
• Ecosystem
• Equipment
• Barriers and Restrictions
• Principals, guidelines, and protocols
• Fatigue/scheduling
Healthcare RCA Methods:
• Design, contributors, and establishing
• Data collection
• Statistical consideration
• Ethical appraisal
• Strengths and limitations

13. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Establishing Sequence of Events (Initial Flow Diagram):
• A chronological outline of the story
• Provides equal understanding of the event
• Twig the facts
• Establishing the series of events
• Determining what caused the event and what to do to prevent it
• Including only the crucial events
• Using diagram/storyboard to re-structure if “sticky notes” are used
• Applying tools and methods
• The initial flow diagram should make clear what you know and
what you don’t know
• Visiting the scene of the event, using the instruments, and safely
simulating what happened

14. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
Action Plan Development:
• Root cause/contributing factor statement
• Action
• Outcome measure
• Responsible person
• Management concurrence or non-concur
• Including all actions recommended by the RCA team
• Choosing some intermediate or stronger actions
• Recognizing who will be responsible to execute the action and
review the action plan
• Communicating the actions with a “cold” reader to see if they
make sense
• Measuring the outcome
Iterating the Actions:
• Finalizing the written RCA document
• Ensuring of free error reports
• Retaining the RCA report
• Keeping the Patient Safety Information System (SPOT) updated

15. https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
Root Cause Analysis Training For Healthcare Professionals
TONEX Hands-On Workshop Sample:
Mr. John Smith, 74 years old, has had an ordinary medical history until May 2003
when he visited his GP for the constant hiccups he had for one week, he was
sent home with some meds for the hiccups. Two hours later he was reported
dead due to cardiac problems.
• In small groups, perform a RCA investigation
• Identify the problem
• Determine the potential causes
• Did the doctor miss diagnosed him, or missed crucial symptoms?
• Has he had an allergy to the medicine that he wasn’t aware of?
• Could the hiccups be related to the cardiac issue?
• Outline all the possible causes
• Identify the underlying cause
• Recommend the actions should have been taken to prevent such tragedy
• Recommend preventive actions to avoid similar events to happen again
• Establish an actions and preventive plan
• Discuss your results with the class

16. ROOT CAUSE
ANALYSIS
https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/
FOR HEALTHCARE PROFESSIONALS
TRAINING
S y s t e m s E n g i n e e r i n g
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