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Medication safety:
Incident analysis and proactive risk assessment

Thursday, April 6 and Friday, April 7, 2017
1.5 day workshop

Registration is closed

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)

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:
Prospective 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: April 6, 2017 from 8:30 am to 4:30 pm
Day 2: April 7, 2017 from 8:30 am to 1:00 pm
Location: ISMP Canada
4711 Yonge Street
Toronto, ON, M2N 6K8
Cost: $850 per person, plus applicable taxes
For registration information, please select the Registration’ tab near the top of the screen.
Audience: Nurses, physicians, pharmacists, pharmacy directors, risk managers, patient safety officers, medication safety officers, paramedics and other healthcare practitioners

  Download information document        Registration Form

Registration is closed.

Medication safety:
Incident analysis and proactive risk assessment

Thursday, April 6 and Friday, April 7, 2017
1.5 day workshop

Registration is closed

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:

On completion of the RCA portion of the workshop, participants will be able to:

  1. Describe the impact of system factors on error potential;
  2. Apply basic human factors engineering principles in a health care environments;
  3. Describe the importance of each component of the incident management continuum;
  4. Complete a system-based analysis using a constellation diagram;
  5. Develop redesign strategies based on systems theory and basic human factors principles; and
  6. Apply principles learned to support medication safety activities in their practice setting.

Day 2:
Prospective 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:

  1. Identify processes suitable for analysis using FMEA;
  2. Describe the steps required to complete an FMEA;
  3. Map out a process and identify potential failure modes;
  4. Develop redesign strategies based on systems theory and basic human factors principles; and
  5. 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

Contact Us

Mail:
ISMP Canada
4711 Yonge Street, Suite 501
Toronto, ON M2N 6K8
Email:
education@ismp-canada.org
Phone:
416–733–3131
Toll Free:
1–866–544–7672
Fax:
416–733–1146

Directions to ISMP Canada

4711 Yonge Street
(Procter & Gamble building)

On entry to the building, check in with Security to obtain a visitor ID badge (next to the lobby elevators).

We are located in the Procter & Gamble Building - 4711 Yonge Street - North of the 401 on the East side of Yonge Street, South of Sheppard Avenue.

(416-733-3131 - ISMP Canada)

Driving Directions:

Note that parking is NOT available in the Proctor and Gamble building. Indoor paid parking is available at the Sheppard Centre (Yonge and Sheppard). Outdoor paid parking is available on the southwest corner of Yonge and Sheppard (1 block north of the office) and on the north side of Avondale Ave, just east of Yonge Street (2 blocks south of the office).

Transit:

We are located on the "Yonge Line" - please get off at the Sheppard Station. Exit the station at the south end of the platform - "Poyntz Avenue". (Tip: The last car of the Subway, when it is heading North, will put you at the "Poyntz Avenue" exit.) Proceed through the turnstile, into the Procter & Gamble building, up the escalator to the Security Desk, and get a Visitor's Pass.

If you return the same way, you must have tokens or a MetroPass, as there are only turnstiles when you leave through the Procter & Gamble building - no TTC representative is on duty. If you only have tickets, then it is a short walk outside up Yonge Street to the North entrance of the Sheppard Station (Sheppard Centre), where there are TTC attendants.