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Sentinel Events, Peer Review and Root Cause Analysis in Healthcare Organizations

Medical Risk Management Associates is very busy creating user friendly software which facilitates and documents a thorough, credible and cost-effective root cause analysis in response to a sentinel or other adverse event or condition in a clinical environment. It is our goal to deliver to the health care industry an application that provides an uncomplicated solution for root cause analysis, and simplify the complexities of quality improvement tools.

Risk management is becoming a critical component of every health care entity's organization and function. With the progressing evolution of the sentinel event policy articulated by the Joint Commission on Accreditation of Health Care Organizations (JCAHO), for the first time in the health care industry a formal structure is being established by which such an organization is to routinely examine sentinel events and/or other adverse events. This structure is root cause analysis. Root cause analysis has a long and respected history in fields outside of medicine, including such industries as energy, manufacturing, computer programming, transportation and accident investigation. One of our goals is to facilitate any given health care organization's development of root cause analysis processes which fit that organization's individualized needs in an effective (by JCAHO and other regulatory standards) and cost-effective manner, with minimal training needs and resource expenditure. We therefore offer free resources in this arena on our website, consultative services, and are developing a software product, Root Cause Analyst®, which is designed to lead a root cause analysis team (novice or experienced) through an entire root cause analysis, from problem statement to solution assessment and final report.

Root Cause Analyst Software® | FAQs on the Issues | Root Cause Analysis Training
Cost-Effective Root Cause Analysis | Root Cause Analysis Software - Article
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Sponsored by Medical Risk Management Associates, LLC
HRM Consulting and Software Development Specialists

Copyright© 1998, 1999 MRMA, LLC. All rights reserved.
All other trademarks are the sole property of their respective owners.
Page last modified 20 October 1999.

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.