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A Virtual Workshop for Health Care Practitioners
Incident analysis and proactive risk assessment
Thursday, December 3 and Friday, December 4, 2020
1.5 day workshop
Registration is full
During COVID-19, ISMP Canada is offering this 1.5-day virtual workshop. This virtual workshop will provide healthcare practitioners with background theory and hands-on practice in incident analysis (root cause analysis, RCA) and proactive risk assessment using failure mode and effects analysis (FMEA).
Day 1:
Incident Analysis - Root Cause Analysis (RCA)
The workshop curriculum is derived from the Canadian Incident Analysis Framework.
Program Abstract:
The program begins with an overview of the system approach in the management of error and introduction to human factors engineering principles. RCA is a tool to help investigate patient safety incidents in healthcare, identify and analyze root causes and contributing factors, and develop recommendations. Participants will learn how to conduct an RCA through interactive exercises and group work. The workshop will cover diagramming to support incident analysis, identification of contributing factors, summarizing findings and developing and implementing recommended actions.
Day 2:
Proactive Risk Assessment Using Failure Mode and Effects Analysis (FMEA)
The workshop curriculum is derived from the Canadian Failure Mode and Effects Analysis Framework Version II (2016).
Program Abstract:
Failure Mode and Effects Analysis (FMEA) is a technique used to identify process and product problems before they occur. This half-day workshop builds on the principles learned in Day 1, with a change in focus to proactive risk assessment and process redesign.
Through interactive group work, participants will learn how to diagram a process, how to identify potential failures, and how to redesign processes with consideration of human factors principles to decrease the likelihood of a failure impacting a patient.
FMEA is a team-based, structured process. It is forward-looking, in contrast to the retrospective approach of incident analysis and techniques such as root cause analysis. FMEA is based on the premise that all systems and processes contain embedded system failures.
| Dates: |
Day 1: 10:00 am to 4:30 pm
Day 2: 10:00 am to 2:00 pm |
|---|---|
| Location: | Join us virtually from your own location – virtual link will be emailed once registration is processed |
| Cost: |
$850 per person, plus applicable taxes (online payment only)
For registration information, please select the 'Registration' tab near the top of the screen. If you require assistance, please contact education@ismpcanada.ca |
| Audience: | Pharmacy directors, pharmacists, pharmacy technicians, nurses, physicians, risk managers, patient safety officers, medication safety officers, and other healthcare practitioners |
| Requirements: | Computer with microphone, webcam, speakers, and internet connection; lined paper and pen; wall space to use for hands-on-practice |
| Workshop Level: | Introductory |
Incident analysis and proactive risk assessment
Thursday, December 3 and Friday, December 4, 2020
1.5 day workshop
Registration is full
This 1.5 day workshop provides healthcare practitioners with background theory and hands-on practice in incident analysis (root cause analysis, RCA) and proactive risk assessment using failure mode and effects analysis (FMEA)
Day 1:
Incident Analysis - Root Cause Analysis (RCA)
Learning Objectives for RCA:
In the RCA portion of the workshop, participants will learn:
- How systems theory and human factors principles impact error potential and solution development;
- Why it is important to consider the full incident management continuum;
- How to complete a system-based analysis; and
- How to redesign systems for safety.
Day 2:
Proactive Risk Assessment Using Failure Mode and Effects Analysis (FMEA)
Learning Objectives for FMEA:
On completion of the FMEA portion of the workshop, participants will be able to:
- Identify processes suitable for analysis using FMEA;
- Describe the steps required to complete an FMEA;
- Map out a process and identify potential failure modes;
- Develop redesign strategies based on systems theory and basic human factors principles; and
- Apply principles learned to support medication safety activities in their practice setting.
For more information regarding RCA and FMEA, please visit: www.ismp-canada.org/rca.htm and www.ismp-canada.org/fmea.htm
Incident analysis and proactive risk assessment
Thursday, December 3 and Friday, December 4, 2020
1.5 day workshop
Registration is full
What do you need?
To attend a virtual workshop, you will need the following:
- Computer with internet connection, speakers, webcam and microphone (if webcam and microphone are not available, phone-line will be required)
- Wall space; or flip chart with paper and markers; or paper and pen (for hands-on practice)
- Computer printer, if available but not required
Materials that will be mailed to you are:
- Canadian Incident Analysis Framework (hardcopy)
- Canadian Failure Mode and Effects Analysis Framework (hardcopy)
- Workshops handouts (hardcopy)
- Workshop cases (for hands-on practice)
- Post-it notes (for hands-on practice)
- Certificate of Completion will be forwarded to the participant within 14 days of workshop
