Root Cause Analysis Techniques for Medical Incident Investigations

Patient Safety is now recognized as a primary goal for modern healthcare. Harm that results from the delivery of healthcare interventions is both distressing and expensive.  As part of any risk management process, an organization needs an effective investigation process. The scale of an adverse event will dictate the scope and complexity of any investigation. However, the fundamental principles of investigation and the goal of the process remain the same irrespective of the nature of the event. This workshop outlines the nature of the investigation process, explores the conduct of investigations and examines the application of different theoretical models of accident causation. The role of the investigation process in organizational learning will be examined. Delegates will experience aspects of the investigation process through the use of case studies. <br />Content The nature of investigation: Legal requirements, purpose of investigation. Conduct of a large investigation: Outline of how a major investigation is managed. Risks and Hazards: Definitions ad concepts, implications for investigation planning. Human factors in adverse events:  Models of Event Causation: Review of major categories of accident causation models concentrating on latest thinking in safety management. Dealing with local incidents: Conducting local investigation. Techniques of Investigation: Tools of Root Cause Analysis Interviewing witnesses Reporting writing: The structure of reports with emphasis on the Analysis section, the role of recommendation in investigation reports. Learning from events: Drawing the correct conclusions <br /> <br />Learning Objectives: At the end of this workshop delegates will be able to: State the legal framework for the conduct of investigations Identify the likely investigation triggers in daily operations Define risk, hazard and safety in healthcare Develop an investigations capability within their organization Employ the skills of investigation Describe 3 models of accident causation Employ structured root cause analysis tools Describe the role of investigation in safety and quality management Identify the problems of organizational safety learning<br /> <br />Target Group: Hospital and Healthcare personnel responsible for, or assigned to, investigations; Risk Managers, Safety Managers, Quality Managers <br /> <br />Duration: 3 days, starting at 9:00 and ending at approximately 17:00 on all days.<br /> <br /> Click on the apply button to view further information on each course <br />