Root Cause Analysis
- Do you have patient complaints?
- Do you have needle-sticks?
- Do you have Near-Miss incidents?
- Do you have sentinel events in your healthcare?
- Do you conduct Root Cause Analysis (as required by JCAHO)?
- Do you have systems or processes where failure is costly or critical?
- Do you have accidents in your hospital?
- Do you have incidents in your hospital?
Root Cause Analysis (RCA) provides a disciplined procedure which enables a health professional to conduct an incident investigation and generate a report with the necessary action plans to reduce such incidents in the future. Skills acquired can be immediately applied for identifying and defining problems. The root causes are identified objectively. An action plan is worked out to eliminate the root causes systematically. The committee is able to evaluate the effectiveness of the action plan. Many hands-on examples help delegates to understand and use the course effectively.
Benefits of Attending the Root Cause Analysis Training
This three-day course is designed to meet the requirements for incident investigation and reporting. This course is structured systematically for the healthcare professionals to acquire the skills and knowledge to effectively conduct an incident investigation. As a management tool, RCA can help the healthcare professionals to establish the trend of incidents and work towards reducing such incidents in future. Upon establishing a trend the healthcare professionals can go to the root of the problem and identify the appropriate action plan to eliminate the causes.
The course enables the healthcare professional delegates to:
- Develop and implement a structured RCA program
- Initiate and conduct an investigation
- Establish an effective team quickly
- Methods for collecting different types of data
- Effective interviewing skills
- Apply causal factors
- Use 5-Whys technique for finding root cause
- Develop a Risk Reduction Plan
- Generate an Action Plan
- Implement the Action Plan
- Report on the effectiveness
Who Should Attend the Root Cause Analysis Training ?
It will be most appropriate for healthcare professionals involved in Quality, Assurance, Nursing Manager, Clinic Manager, Laboratory Managers, Customer Complaints, Incident, ISO audit, Customer service. Multi functional teams are encouraged to attend for maximum benefit.
Brief RCA Training Outline
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Day 1 (AM) |
RCA Introduction
- Basics of incidents and investigations
- Identifying near-miss
- Initiating the investigation
- Gathering data
RCA Methodology
- Identifying the need
- Analyzing data for causal factors
- Causal factor charting
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Day 1 (PM) |
Tools for RCA
- Identifying root causes
- Patient factors
- Task and technology
- Individual staff
- Team factors
- Work and care environment
- Management and organizational
- External
- Others
- Problem Solving Techniques
- Cause effect diagram
- Pareto Analysis
- Fault Tree Analysis
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Day 2 (AM) |
RCA Aspects
- Classifying Events Types
- Identifying Contributory Factors
- Evaluating Impact
- Evaluating Risk
- Assessing the Investigation Level
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Day 2 (PM) |
RCA Implementation
- Forming cognizant team
- Planning the investigation
- Sequencing Events
- Determing Root Causes
- Using 5-Whys to identify root causes
- Risk Reduction strategies
- Developing Action Plans
- Overcoming resistance to change
- Evaluating effectiveness
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Day 3 (AM) |
RCA Case Study
- How is it done now
- Shortcomings
- What should have been done?
- How to use iCT-M?
Conduct iCT-M Case Study
- Entering data
- Carry out the steps
- Completing the study
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Day 3 (PM) |
RCA Discussion
- Report the study
- Discuss the benefits of iCT-M
- Print report
RCA Summary
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