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Medication safety:
Incident analysis and proactive risk assessment
Thursday, December 13 and Friday, December 14, 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: 8:30 am to 4:30 pm
Day 2: 8:30 am to 1:00 pm |
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| 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. To register for Day 1 only, contact education@ismpcanada.ca. |
| Audience: | Pharmacy directors, pharmacists, pharmacy technicians, nurses, physicians, risk managers, patient safety officers, medication safety officers, and other healthcare practitioners |
| Workshop Level: | Introductory |
Medication safety:
Incident analysis and proactive risk assessment
Thursday, December 13 and Friday, December 14, 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:
- 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
Contact Us
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Mail:
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ISMP Canada 4711 Yonge Street, Suite 501 Toronto, ON M2N 6K8 |
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Email:
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education@ismpcanada.ca |
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Phone:
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416–733–3131 ext.0 |
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Toll Free:
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1–866–544–7672 ext.0 |
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Fax:
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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.
