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
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
VISIT TONEX.COM
• Tonex has been documenting the cybercrime evolution for 25 years
when it first began training organizations on how to better deflect
contemporary cyberattack.
• Our Cybersecurity training courses and seminars are continuously
updated so that they reflect the latest industry trends, and they are
also created by specialists in the industry who are familiar with the
market climate.
• So far we have helped over 20,000 developers in over 50 countries
stay up to date with cutting edge information from our training
categories.
• We’re Different because we take into account your workforce’s
special learning requirements. In other words, we personalize our
training – Tonex has never been and will never be a “one size fits all”
learning program.
• Ratings tabulated from student feedback post-course evaluations
show an amazing 98 percent satisfaction score.
Contact Tonex for more information, questions, comments.
Why Tonex?
TONEX.COM
TONEX SINCE 1993
https://www.tonex.com/

Root Cause Analysis Training for Healthcare Professionals : Tonex Training

  • 1.
    ROOT CAUSE ANALYSIS https://www.tonex.com/training-courses/root-cause-analysis-training-healthcare-professionals/ FOR HEALTHCAREPROFESSIONALS 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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 AnalysisTraining 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.
  • 17.
    • Tonex hasbeen documenting the cybercrime evolution for 25 years when it first began training organizations on how to better deflect contemporary cyberattack. • Our Cybersecurity training courses and seminars are continuously updated so that they reflect the latest industry trends, and they are also created by specialists in the industry who are familiar with the market climate. • So far we have helped over 20,000 developers in over 50 countries stay up to date with cutting edge information from our training categories. • We’re Different because we take into account your workforce’s special learning requirements. In other words, we personalize our training – Tonex has never been and will never be a “one size fits all” learning program. • Ratings tabulated from student feedback post-course evaluations show an amazing 98 percent satisfaction score. Contact Tonex for more information, questions, comments. Why Tonex?
  • 18.
  • 19.