Root cause analysis: investigating deeper | Australian College of Nursing

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Root cause analysis: investigating deeper

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The National Safety and Quality Health Service Standard 4.1.1 outlines medication incidents are to be regularly monitored, reported and investigated. There is evidence available to show that medication related adverse events in the healthcare systems do not just happen, but can be traced to one or more root causes. Nurses are required to report all identified clinical incidents, near misses and complaints through organisation specific Incident Information Management Systems.

This webinar aims to provide an uncomplicated approach to root cause analysis for registered nurses. The session will examine the important relationship between adverse events in the delivery of health care and the work processes that produce them. Root cause analysis is a tool that cannot only identifywhat and how an event occurred, but also lead to an understanding of why it occurred. It can be applied to day-to-day issues as well as major patient events. Examples of actual cases in healthcare will be explored with opportunities for participants to learn and apply the basic steps of root cause analysis.

Topics to be addressed are:

  • What is root cause analysis?
  • When is root cause analysis used?
  • How is root cause analysis different to other investigation tools?
  • What are the 4 steps used in root cause analysis?
  • What types of data is collected in root cause analysis?

This webcast is available for registered participants for 3 weeks.

Cost:   ACN members $22 (incl. GST)
             Non-members $30 (incl. GST)

 

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