Root Cause Analysis Techniques for Medical Incident Investigations

Note: This course will be scheduled upon demand. Interested? Please notify us via training@jaat.eu

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.

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

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