Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety
Autor David Allison, CPPS, Harold Peters, P.Eng.en Limba Engleză Paperback – 4 oct 2024
This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included.
This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.
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Specificații
ISBN-13: 9781032036014
ISBN-10: 103203601X
Pagini: 142
Ilustrații: 50
Dimensiuni: 156 x 234 mm
Greutate: 0.26 kg
Ediția:1
Editura: CRC Press
Colecția CRC Press
Locul publicării:Boca Raton, United States
ISBN-10: 103203601X
Pagini: 142
Ilustrații: 50
Dimensiuni: 156 x 234 mm
Greutate: 0.26 kg
Ediția:1
Editura: CRC Press
Colecția CRC Press
Locul publicării:Boca Raton, United States
Public țintă
Professional and Professional Practice & DevelopmentCuprins
Part 1: Building an Understanding of RCA. 1. The Need for Root Cause Analysis (RCA). 2. Forms of Analysis. 3. Pre-Work for an RCA Team Meeting. 4. Creating the Logic Tree. 5. Effective Action Plans. 6. RCA Facilitation. Part 2: Root Cause Analysis Champions. 7. RCA Standard Work by Role. 8. Barriers to RCA and Their Countermeasures. 9. Strategies for No Repeat Events. 10. Teaching RCA.
Notă biografică
David Allison, CPPS, has 15+ years of facilitating RCA teams, and teaching RCA methodology for patient safety and risk management professionals. He has over 30 years of experience in healthcare and has provided leadership in behavioral health, risk management, and patient safety settings. David has been the process owner for the safety value stream across a healthcare system, helping to reduce the rate of serious safety events with tools such as RCA.
Harold Peters, P.Eng., is an improvement professional with extensive experience in healthcare, service, government, and manufacturing. During his 15+ years in healthcare, he led Lean project and transformation work, facilitated RCAs, and introduced other improvement methodologies like Work Simplification, Theory of Constraints, and Operations Research. In system leadership roles, he established and led the process improvement strategy, structure, standards, and resources for two large healthcare systems across multiple states, and led the system patient safety department in one of the organizations, developing strategy, structure, standards, and teaching RCA methodologies.
Harold Peters, P.Eng., is an improvement professional with extensive experience in healthcare, service, government, and manufacturing. During his 15+ years in healthcare, he led Lean project and transformation work, facilitated RCAs, and introduced other improvement methodologies like Work Simplification, Theory of Constraints, and Operations Research. In system leadership roles, he established and led the process improvement strategy, structure, standards, and resources for two large healthcare systems across multiple states, and led the system patient safety department in one of the organizations, developing strategy, structure, standards, and teaching RCA methodologies.
Recenzii
"The main strengths of the materials are that they are practical, thorough and readily applicable to healthcare. The materials provide tools necessary for successful RCA performance and action plan implementation based on the authors years of experience leading the analysis of actual patient safety events in healthcare. The materials emphasize the importance of learning from adverse events to an organization’s culture of safety. The authors place the patient at the center and also recognize the importance of credible event investigation to caregivers. The materials appropriately emphasize a systems approach to medical errors, the importance of reliably identifying the root cause of an event and implementing an action plan that prevents the error from recurring."
- Andrea Halliday, MD, Former Chief Clinical Officer Peace Health and PeaceHealth Oregon Network CMO (retired)
- Andrea Halliday, MD, Former Chief Clinical Officer Peace Health and PeaceHealth Oregon Network CMO (retired)
Descriere
The book follows a proven training outline, including real-life examples and exercises to teach healthcare professionals how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm.