Knowledge
In-depth guidance on root cause analysis, failure mode and effects analysis, peer review and incident reporting.
FMEA/HFMEA® Steps In conducting a health care FMEA (HFMEA®) the basic steps are: Identify the process to be examined. Assign FMEA team members, team leader and team facilitator. Explain the methodology to the team.…
Read articleA workplace incident is categorized by severity, and generally defined as a situation or occurrence that adversely affects the safety and well-being of the people and/or operation of a facility. In order to deal with a…
Read articleFirst Considerations Assessment of your organization's "reality" Ask the hard questions Discover feasibility "up-front" Write or revise your plan of action Add or revise policies and procedures (include flow charts)…
Read articleReprinted with permission from: The Joint Commission Advisor for Behavioral Health Care Providers, June 1999, 3(6), pp 1-4. While this article focuses on behavioral health, the comments are fully applicable to health…
Read articleThe move to conduct root cause analysis is largely motivated by a growing recognition that the complexity of health care and health care delivery drives the incidence of adverse events uncomfortably and unacceptably…
Read articleUsing multi-disciplinary teams to conduct Root Cause Analysis leads to innovative solutions while simultaneously transforming group dynamics By: Denise G. Osborn, JD, MPH(2008) What is Root Cause Analysis? Root Cause…
Read articlePrelude: If you have a sentinel event, and if you don't have a formal process already in place, you've essentially lost this battle already, because you're in the position of crisis functioning. Recoup by bearing in…
Read articleWith the burgeoning interest in healthcare failure mode and effects analysis (HFMEA®), there have unfortunately been systematic errors injected into the methodology, even in the examples promulgated by the leaders in…
Read articlePEER REVIEW STATUTES: PROTECTING YOUR INTERESTS Reprinted with permission from: The Joint Commission Advisor for Behavioral Health Care Providers, June 1999, 3(6), pp 1-4. While this article focuses on behavioral…
Read articleSoftware Facilitation CCD Health Systems owns and promotes its methodology for conducting cost-effective root cause analysis in the healthcare environment. This methodology also provides an effective and standardized…
Read articleThe Joint Commission requires that your Root Cause Analysis (RCAs) be thorough and credible. "Thorough" and "credible" are not particularly difficult concepts until it's time to apply them while conducting an RCA. Or…
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