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Where do we go from here?

Where do we go from here?. We understand what RCA is and how to facilitate an RCA…..now what?. Planning for implementation Buy-in Decisions Education/training. Getting buy-in. Need commitment from your organization Who makes the decisions? What do they need to know/understand?

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Where do we go from here?

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  1. Where do we go from here? • We understand what RCA is and how to facilitate an RCA…..now what? • Planning for implementation • Buy-in • Decisions • Education/training

  2. Getting buy-in • Need commitment from your organization • Who makes the decisions? • What do they need to know/understand? • When & how will they decide? • What do you need them to commit – resources, time, moral support? • Who is going to be responsible for making sure that corrective actions happen – that you are following through?

  3. Decisions to make • When will you use RCA? • Difficult issues you’re struggling with? • Highest risk for injury or death? • Frequency? • What criteria should you use? • What are the ramifications? • Resource needs • Education/training • Frequency of RCA

  4. Staff Education • Facilitator training • Just in time training for staff • Role of medical director, pharmacy, hospice, others who may be involved • Orientation

  5. Resources • Reporting forms • Tools/visuals for timelines or root cause diagrams • Training forms for staff

  6. The hard part • Doing the RCA is not the most difficult part… • The challenge comes from committing to your staff that you’re going to do things in a different way & truly examine root causes. • You are asking for their trust. Are you going to follow through?

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