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#16. I'm the risk manager at a medium-sized community hospital, with the usual limited resources. Would you recommend going to workshops and the like to learn how to conduct a root cause analysis?

Despite the fact that we offer such root cause analysis conferences and workshops, we actually advise that your initial exposure and training should not be by this means. Rather, start with the JCAHO's manual, Conducting a Root Cause Analysis in Response to a Sentinel Event. Consider it a primer; it is definitely worth reading before you spend money on anything else. Check the offerings from Opus Communication, which publishes a number of excellent advisory newsletters and books. Check out some of the resources we've listed in our Links and Resources section (And let us know if you find some we should add!). Network with your risk management peers. Check out websites like those of American Society for Healthcare Risk Management (ASHRM), The Institute for Healthcare Improvement (IHI) and The National Association for Healthcare Quality (NAHQ). Put together a team and do a practice root cause analysis (better yet, do several) on non-sentinel events (near-miss type events are a good choice).

Then and only then should you decide whether or not to send a few representatives to a workshop. Develop the basic root cause analysis skills, and then you will maximize your benefit from a conference or workshop. And if you do use a workshop, be sure the attendees train more folks upon their return home. Practice the adage "See one, Do one and Teach one."

An alternative is to invite a speaker to train a number of staff at your facility, or to join with one or two facilities in your area to have a speaker come to you. If you decide to pursue any expert training, this is by far the most cost-effective means. Should you be interested in such hands-on training in how to conduct an effective and cost-effective root cause analysis in a healthcare environment, please read about our workshops, which are available at your own facility or organization: Root Cause Analysis Training.



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About MRMA.  Automate Root Cause Analysis.  Root Cause Analysis Training Comments.  Copyright.  Costeffective Root Cause Analysis.  Credible Root Cause Analysis.  Protection from Discoverability.  Reporting of Sentinel Events to JCAHO.  Root Cause Analysis Cost.  JCAHO Requirement for Root Cause Analysis  JCAHO Sentinel Event Reporting Options.  Proximate cause, root cause versus contributory factor.  Root Cause Analysis on Non-Sentinel Events.  RCA on Sentinel versus Adverse Event.  Reaction to JCAHO Sentinel Event Policy.  Suicide RCA Data.  Root Cause Analysis Policy Implementation.  Root Cause Analysis Standards.  Software facilitation of root cause analysis.  Thorough & Credible Root Cause Analysis.  DoD Sentinel Event Reporting.  Literature Review in Root Cause Analysis.  Root Cause Analysis Training.  FAQ's on Root Cause Analysis.  FOCUS-PDCA.  Guestbook.  Implementing Root Cause Analysis Policy.  MRMA Home.  Inforequest.  Links.  Patient-Doctor Dialog.  Freedom from Restraint.  JCAHO Reporting Options.  Root Cause Analyst.  Thankyou.  Root Cause Analysis Theory.  Root Cause Analysis Training.  Root Cause Analysis Training.  Sample Root Cause Analysis Report.  Sample RCA Contributory Factor Tree Diagram.  Root Cause Analysis Reporting Form. 
About MRMA.  Automate Root Cause Analysis.  Root Cause Analysis Training Comments.  Copyright.  Costeffective Root Cause Analysis.  Credible Root Cause Analysis.  Protection from Discoverability.  Reporting of Sentinel Events to JCAHO.  Root Cause Analysis Cost.  JCAHO Requirement for Root Cause Analysis.  JCAHO Sentinel Event Reporting Options.  Proximate cause, root cause versus contributory factor.  Root Cause Analysis on Non-Sentinel Events.  RCA on Sentinel versus Adverse Event.  Reaction to JCAHO Sentinel Event Policy.  Suicide RCA Data.  Root Cause Analysis Policy Implementation.  Root Cause Analysis Standards.  Software facilitation of root cause analysis.  Thorough & Credible Root Cause Analysis.  DoD Sentinel Event Reporting.  Literature Review in Root Cause Analysis.  Root Cause Analysis Training.  FAQ's on Root Cause Analysis.  FOCUS-PDCA.  Guestbook.  Implementing Root Cause Analysis Policy.  MRMA Home.  Inforequest.  Links.  Patient-Doctor Dialog.  Freedom from Restraint.  JCAHO Reporting Options.  Root Cause Analyst.  Thankyou.  Root Cause Analysis Theory.  Root Cause Analysis Training.  Medical Risk Management Associates.  Sample Root Cause Analysis Report.  Sample RCA Contributory Factor Tree Diagram.  Root Cause Analysis Reporting Form.