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Medication safety:
Incident analysis and proactive risk assessment

Thursday, August 23 and Friday, August 24, 2018
1.5 day workshop

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)

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: August 23, 2018 from 8:30 am to 4:30 pm
Day 2: August 24, 2018 from 8:30 am to 1:00 pm
Location: ISMP Canada
4711 Yonge Street, Suite 501
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: Pharmacy directors, pharmacists, pharmacy technicians, nurses, physicians, risk managers, patient safety officers, medication safety officers, and other healthcare practitioners
Workshop Level: Introductory

  About this Workshop        Registration Form

Registration

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Online: All major credit cards are accepted by PayPal. Fill in the form below and click the Buy Now button to go to the PayPal website to complete the transaction.


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$850.00 (plus applicable taxes)
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Fax: Complete this pdf form and fax to 416-733-1146 with credit card information..
     

Mail: Complete this pdf form and mail together with cheque or credit card information to:

       ISMP Canada
       Medication Safety Learning Centre
       4711 Yonge Street
       (Procter and Gamble building)
       Toronto, Ontario
       M2N 6K8

Confirmation
Registration will be confirmed within 10 days of receipt of payment.

Cancellation Policy
Notice of all cancellations must be provided in writing at least 7 days prior to the event. A $75 administration fee will apply to all refunds. There are no refunds for registrants who cancel after the cancellation deadline.

Registrants may postpone attendance to a future workshop however a $75 administration fee will apply if notice of postponement is received less than 7 days prior to the event.

ISMP Canada reserves the right to cancel or reschedule workshops. In the event of a cancellation, fees paid will be credited towards a future workshop, or fully refunded.

For additional information, call 1-866-544-7672 ext. 0 (416-733-3131 ext.0) or email to education@ismpcanada.ca
     

Medication safety:
Incident analysis and proactive risk assessment

Thursday, August 23 and Friday, August 24, 2018
1.5 day workshop

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:

  1. How systems theory and human factors principles impact error potential and solution development;
  2. Why it is important to consider the full incident management continuum;
  3. How to complete a system-based analysis; and
  4. 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:

  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@ismpcanada.ca
Phone:
416–733–3131 ext.0
Toll Free:
1–866–544–7672 ext.0
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 Procter & Gamble Building. Indoor paid parking is available at the Hullmark Centre (Yonge and Anndale – enter via Anndale).

Transit:

We are located on the "Yonge Line" - please get off at the Sheppard Station.