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Patient Safety & Risk
Root Cause Analysis in Practice: Investigating Clinical Incidents
Run a defensible investigation that finds system causes instead of a person to blame.
professional210 min6 lessons
What you'll learn
- Construct a defensible timeline from a set of incident records
- Apply a contributory factors framework to classify identified issues
- Differentiate proximate cause from underlying system cause
- Plan an interview approach for a distressed staff member
- Evaluate a set of draft recommendations against the effectiveness hierarchy
- Document an investigation in a format suitable for governance review
Course content
6 modules · 6 lessons
1. When RCA Is the Right Tool
- When RCA Is the Right ToolPreview35m
2. Building the Timeline
- Building the Timeline35m
3. Contributory Factor Analysis
- Contributory Factor Analysis35m
4. Interviewing After an Incident
- Interviewing After an Incident35m
5. From Findings to Recommendations
- From Findings to Recommendations35m
6. Reporting and Follow-Through
- Reporting and Follow-Through35m