domingo, 9 de agosto de 2015

AHRQ Patient Safety Network ► Event Investigation Root Cause Analysis Course. The Just Culture Way.

AHRQ Patient Safety Network

PSNet header image

Event Investigation Root Cause Analysis Course. The Just Culture Way.

Outcome Engenuity. September 15–17, 2015; The Armstrong Center, Armstrong Atlantic State University, Savannah, GA.

Root cause analysis is a recommended failure analysis tool, but it can be ineffective if not conducted under the right circumstances. This workshop educates participants about how to perform root cause analysis and develop a culture that will enable application of what is learned through the process to identify risks and improve system design.

Conference information icon indicating hyperlink to external website

Related Resources
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.
Naik G. The Wall Street Journal. May 8, 2006:A1.
What’s past is prologue: organizational learning from a serious patient injury.
Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.
EMS helicopter crashes: what influences fatal outcome?
Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. Ann Emerg Med. 2006;47:351-356.
Our long journey towards a safety-minded just culture. Part I: Where we've been.
ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.
View all related resources...

No hay comentarios: