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Root Cause Analysis for Incident Investigation Training - Online Course

Root Cause Analysis for Incident Investigation Training - Online Course

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Highlights

  • On-Demand course

  • All levels

Description

Root Cause Analysis for Incident Investigation Training - Online Course

This Root Cause Analysis for Incident Investigation online training provides a structured approach to incident investigation. It covers gathering and organising the information, through a detailed analysis of the issues and evidence, to the production of the formal report. The training follows a proven Root Cause Analysis (RCA) methodology tailored to investigating patient incidents in hospitals, care homes and care services.

Which Root Cause Analysis training course should I take?

Level 1 - Is an introductory course that is suitable for people that will be involved in investigations. Staff are able to understand the process and know what to expect during the actual investigation. It can also be used by investigators before face-to-face training with InPractice.

Level 2 - Is a comprehensive course that is designed for investigators. It covers gathering and organising the information, through a detailed analysis of the issues and evidence, to the production of the formal report. Please note: the level 2 course covers all the material in Root Cause Analysis for Incident Investigation (Level 1) course.

What are the learning outcomes for the Root Cause Analysis Level 2 course?

After completing the course you will be able to describe:

  • The purpose of RCA in an incident investigation
  • The underlying principles that guide RCA in incident investigation
  • 12 key steps when applying RCA
  • How information is gathered and organised in the investigation folder
  • The purpose of a wagon-wheel analysis and explain how a wagon-wheel is produced
  • How RCA can produce recommendations that are both actionable and measurable
  • The essential elements of an incident investigation report and explain how it is produced
  • How the investigation outcomes are communicated to participants

What is Root Cause Analysis?

The first topic outlines the purpose of an RCA investigation. It explains the focus on improvement and avoidance of blame. You will also learn about the twelve steps in an RCA investigation.

Step 1: Write a Timetable

The second topic explains why you need a timetable and how to produce one. Then you will learn about why information gathering is more important than information analysis.

Step 2: Neutralise the Incident

The third topic explains why it is important that you have a neutral statement about the incident. You will learn how to reword a statement to remove all subjective terms.

Step 3a: Scoping - Introduction

The fourth topic describes the purpose of scoping and outlines three scoping activities.

Step 3b: Scoping - The 5 Hypotheses

This topic describes the activity called '5 hypotheses'. You will learn how to produce 5 hypotheses about the incident.

Step 3c: Scoping - 4 Ps (Paper, People, Parts, Place)

This topic is about the 4 Ps of Root Cause Analysis. You will learn about how the 5 hypotheses of the previous topic generate the 4 Ps.

Step 3d: Scoping - Index the Information

This topic describes how to organise the information identified in the 4 Ps activity. You will learn how to ensure cooperation with information requests. You will also learn about when to move on to the next step in your investigation.

Step 4: Produce a Simple Timeline

This topic explains how to identify relevant events and then how to put them in a simple timeline.

Step 5: Produce a Tabular Timeline

This topic describes how to create a tabular timeline, You will learn how to populate this timeline with events, dates and times. You will also learn how to deal with missing information.

Step 6: Conduct Interviews

This topic explains how to select people for interview. Then you will learn about how to question people in an interview. The topic also explains how to interview witnesses without alienating them.

Step 7: Identifying Good Practice

This topic is about how and why to add instances of good practice to the tabular timeline.

Step 8: Identifying Care Delivery Problems

This topic explains how to add care delivery problems to the tabular timeline. Then you will learn how to write about these problems precisely. The topic also explains why you should avoid using a patient's presentation as a CDP.

Step 9: Prioritise Care Delivery Problems

In this topic you will learn how to prioritise CDPs using the Nominal Group Technique.

Step 10: Wagon-Wheel Analysis

In this topic you will learn about how and why to carry out a Wagon-Wheel analysis.

Step 10: Wagon-Wheel Analysis - Identifying Root Causes

In this topic you will learn how to evaluate each contributory factor in the Wagon-Wheel analysis to determine whether or not it is a root cause.

Step 11: Produce the Incident Investigation Report

This topic explains how to produce the Incident Investigation Report that is fit for purpose.

Step 12: Debrief and Follow-up

The final topic explains why you need to give staff feedback and what should be included in the feedback.

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