Project Description

Root Cause Analysis or RCA is widely endorsed by healthcare systems worldwide for the investigation of serious incidents.

RCA is understood as a method of structured risk identification and management in the aftermath of adverse events. The RCA is not a single technique but, describes a range of approaches and tools drawn from many fields – and these will be fully explored throughout the web workshop. These will enable you to establish how and why an incident occurred to identify how it, and similar problems, might be prevented from happening again.

At the PMA we pride ourselves on the understanding that one size doesn’t fit all and – therefore, we have various formats of our workshops and can adapt any programme / agenda to suit your local needs and necessaries – so, please get in touch to discuss your requirements.

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Who should attend?

Don’t miss opportunity to work with leading specialists in a series of full day workshops specifically focused on the ‘business’ aspects of General Practice.

  • General Practitioners
  • Practice Managers
  • Senior Practice Nurses
  • GP Administrator Managers

Objectives

This web workshop has been designed to be practical and easily digestible for those with responsibility for the Management, Reporting and Investigating of Serious Incidents within the Primary Care sector. The day is facilitated by experts in both Incident Management and Investigation and will be very interactive. It will be both detailed and practical and will seek to provide clarity and an objective/practical approach to Serious Incidents and the learning they provide.

Workshop Outcomes

Following the web workshop we would expect the delegates, to have a good understanding of the principle requirements around serious incidents and feel confident to report them appropriately. They would also be able to conduct local, practice-based root cause analysis investigations or participate in externally lead RCAs

Workshop Agenda

Below is an outline of the proposed agenda, if you have any questions please get in touch.

Introduction and Welcome – Open Forum – your challenges and concerns
Overview of the Programme & Objectives

  • What is Root Cause analysis and what we need to know
Principles of Incident Management

  • What are Serious Incidents
  • Serious Incident Framework
  • Principles of General Incident Management
  • What is a ‘Root Cause’
  • Learning from Incidents
Types of Incidents

  • Types of incidents
  • Identification and recording
  • Incident Grading
  • Duty of Candour
Understanding the steps

  • Once a Serious incident has occurred
  • Immediate post incident action
  • Who needs to be informed
The Investigation Process

  • The Investigation Team
  • The 3 stages
    • Information
    • Questions
    • Analysis
Stage 1 – Information

  • Staff and witnesses
  • Documents and records
  • Policies, Requirements and guidelines
  • Best Practice
Stage 2 – Identifying Questions

  • Chronology
  • Process Mapping
Stage 3 – Questions

  • The 5 Whys
  • Fishbone analysis
Learning from Incidents

  • System, process and organisational factors
  • The Human
Summary and Q&A
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Contact the PMA now

If you would like more information about any of our workshops, the timings or adapting our programmes to your local needs / requirements, please call 0330 111 6459 or email enquiries@pma-uk.org

Please note that all workshops are delivered online as web workshop sessions – however, if you require face to face workshops, please get in touch and we will be happy to discuss this.

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