QIG offers a scenario-based training program aimed at educating your staff on the anatomy of errors and how to use proven tools, techniques, and methodologies to reduce errors and cultivate a culture of safety in your organization.
Root Cause Analysis (RCA) is one of the most powerful, yet one of the most underused tools available to health care organizations. This RCA training program will provide you and your staff with the necessary tools to get started using RCA right away, or if you already use RCA, will enhance your efforts with tools that may not be currently used by you and your staff. Learn how Lean and Six Sigma methodologies can be used in your efforts to identify weeknesses in barriers and help you develop action plans that prevent errors from recurring.
Don't spend unnecessary time developing forms, processes, and systems to conduct a RCA when it has already been done for you. You and your staff will be provided with step-by-step instructions that will guide you through each step in the process, whether reacting to a sentinel event or just using RCA as a process improvement tool.
QIG offers a training program in which those tools are not only taught, but are practiced during the training using a scenario-based approach.
Brain Warm Up
We begin the training with an overview and a brain warm up to set the tone for the day and to get the staff engaged in conversation. Communication and participation is a vital component of the training. Participants understanding of why they are being asked (or required) to attend such a session is important to their participation throughout the course of the training.
An error is the failure of a planned action to be executed as intended (error of execution) or the use of a wrong plan to achieve an aim (error of planning). In this training we discuss types of error and we explore how and why errors occur. Errors resulting from violations of rules and procedures contribute to your culture. By reducing errors, we improve systems and redefine the culture. There must be an organized approach to building a culture of safety. The fundamental components that are necessary to success include:
Focus on systems—not people
Understanding human interaction with systems
Using proven methodologies and tools
We explore all these components and consider them as we work through the practice scenarios.
We define root cause analysis (RCA) and teach the tools used to conduct a thorough and effective RCA. Each participant receives a copy of Cultivating a Culture of Safety in Healthcare: A Systematic Approach to Root Cause Analysis to use for reference in the training and for future reference in their work setting. The steps for conducting a thorough RCA may vary depending on whether the RCA is undertaken in response to an event that has occurred or whether it is being used to improve a process that has been determined to be inefficient or ineffective or is part of an ongoing effort of improvement such as increasing compliance with the CMS core measures. Whatever the reason for conducting the RCA, following the steps taught fosters success of the team and supports a culture of safety. The process of conducting the RCA is broken down for into small, manageable steps.
Practice & Present
In 2007 a 3-year old boy in Florida died as a result of a medical error when his parents took him to a clinic for a simple test to determine if he had a growth hormone deficiency. Also in 2007 Dennis and Kimberly Quaid’s newborn twins narrowly escaped death when they were given an overdose of Heparin. Eighteen year old Josie King died at one of the most prestigious hospitals in the country, Johns Hopkins, from dehydration that was not recognized and treated—a medical error. There are so many stories of incidents such as these. We will provide scenarios that could occur at any hospital. Using the information learned during training, the participants will conduct a RCA.
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