The RCA is conducted by a multidisciplinary team comprising members of the affected departments.
The team explores and analyzes all potential causes of the event, identifies risk reduction strategies, then implements a correction plan.
Quality Companion Minitab How To Avoid Similar
The RCA helps us carefully analyze and understand precisely what happened, and learn how how to avoid similar events in the future, the hospitals quality manager told me.
Doing it right is critical to helping us ensure patient safety.
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The plan should include a method for monitoring the effectiveness of new systems or procedures.
Its very labor-intensive, and that makes it expensive, the quality manager explained.
We may need six to eight people on a team, and we create an enormous amount of information along the way.
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The analysis includes a host of complicated steps, and the tools we were using couldnt handle all the things we needed to do, the quality manager said.
Quality Companion Minitab Software Was Well
They didnt get Quality Companion specifically to perform Root Cause Analyses, but it turns out the software was well suited to the task.
As with all of Companions tools, the hospital was able to easily customize the Roadmap to their needs.
And data entered into one Companion tool is available to the softwares other tools, eliminating the need to re-enter the same information.
For example, information the team puts into a process map is automatically available in the CE Matrix tool, too.
Usb 3Its just an extremely practical solution for the challenges involved, he said.
Weve also begun using Companion to map patient flow through the facility, and we anticipate well be able to apply it in many other areas, too.
Regardless of the fact they use Companion, their approach to handling sentinel events vividly illustrates just how many types of issues quality improvement methods can be applied to.