Serious Incidents & Root Cause Analysis

//Serious Incidents & Root Cause Analysis
Serious Incidents & Root Cause Analysis2018-09-04T10:41:29+00:00

Project Description

Root Cause Analysis or RCA is widely endorsed by healthcare systems worldwide for the investigation of serious incidents.

RCA is understood as a method of structured risk identification and management in the aftermath of adverse events. The RCA is not a single technique but, describes a range of approaches and tools drawn from many fields – and these will be fully explored throughout the workshop. These will enable you to establish how and why an incident occurred to identify how it, and similar problems, might be prevented from happening again.

  • Duration: Full day

  • Location: On-site/locally

Who should attend?

Don’t miss opportunity to work with leading specialists in a series of full day workshops specifically focused on the ‘business’ aspects of General Practice.

  • General Practitioners
  • Practice Managers
  • Senior Practice Nurses
  • GP Administrator Managers

Objectives

This workshop has been designed to be practical and easily digestible for those with responsibility for the Management, Reporting and Investigating of Serious Incidents within the Primary Care sector. The day is facilitated by experts in both Incident Management and Investigation and will be very interactive. It will be both detailed and practical and will seek to provide clarity and an objective/practical approach to Serious Incidents and the learning they provide.

Workshop Outcomes

Following the workshop we would expect the delegates, to have a good understanding of the principle requirements around serious incidents and feel confident to report them appropriately. They would also be able to conduct local, practice-based root cause analysis investigations or participate in externally lead RCAs

Workshop Agenda

Below is an outline of the proposed agenda, if you have any questions please get in touch.

09.15 Registration 
09.30 Introduction and Welcome – Open Forum – your challenges and concerns
9.45 Overview of the Programme & Objectives

  • What is Root Cause analysis and what we need to know
10.00 Principles of Incident Management

  • What are Serious Incidents
  • Serious Incident Framework
  • Principles of General Incident Management
  • What is a ‘Root Cause’
  • Learning from Incidents
10.45 Break
11.00 Types of Incidents

  • Types of incidents
  • Identification and recording
  • Incident Grading
  • Duty of Candour
11.20 Understanding the steps

  • Once a Serious incident has occurred
  • Immediate post incident action
  • Who needs to be informed
12.00 The Investigation Process

  • The Investigation Team
  • The 3 stages
    • Information
    • Questions
    • Analysis
13.00 Lunch & Networking
13.45 Stage 1 – Information

  • Staff and witnesses
  • Documents and records
  • Policies, Requirements and guidelines
  • Best Practice
14.15 Stage 2 – Identifying Questions

  • Chronology
  • Process Mapping
15.00 Break
15.15 Stage 3 – Questions

  • The 5 Whys
  • Fishbone analysis
16.00 Learning from Incidents

  • System, process and organisational factors
  • The Human
16.30 Summary of day and Close
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