qm_root_cause_analysis_2005

Improving Systems: A Two-Day Workshop on Root Cause Analysis and Failure Modes Effects Analysis

Sponsor: Acibadem Healthcare Group
Objective: To understand how systems impact patient safety; to expand knowledge for practical application in hospital, and to understand how tools such as RCA and FMEA can improve systems.
Dates: October 21-22, 2005
Location: Istanbul, Turkey
Selected Topics: Occurrence of Medical Error
Role for Patient Safety
Systems Theory: Hospitals as Systems
Human Factors
Error Classification Systems: Vincent and Others
Root Cause Analysis
Introduction to Failure Mode and Effects Analysis
FMEA: Real Examples from Acibadem
Moving from Root Cause Analysis to Implementing Improvements: Tracking, Metrics, and Quality Improvement Theory
Selected Faculty: Course director: Kenneth Sands, MD, MPH, Vice President, Health Care Quality, BIDMC
Audience: Health care leaders in Turkey