Root Cause Analysis and Medical Error Prevention
Tracking # 20-1126286
Course overview
The term "medical error" encompasses diverse events that vary in magnitude and can potentially harm the patient. According to the 2019 World Health Organization (WHO) Patient Safety Factsheet, adverse events due to unsafe patient care are among the top 10 causes of death and disability worldwide. However, it is essential to understand that healthcare delivery involves multiple variables in a dynamic environment, with many critical decisions made quickly. As such, the healthcare system cannot implement rigid protocols used by other high-risk industries, such as aviation. Reducing medical errors requires a multifaceted approach at various levels of healthcare. In the event of a sentinel occurrence or adverse patient outcomes, a thorough evaluation is warranted to prevent such events. Root cause analyses provide a method of evaluation for these situations so that a system-based intervention can be implemented rather than blaming individual providers. This activity reviews the root cause analysis process in medical error prevention. The course highlights the interprofessional team's role in performing this analysis to prevent medical errors and improve clinical outcomes.
Subject areas
This course counts toward the state boards and subject areas below.
Florida Board of Medicine
Area of Critical Need Medical Doctor
Medical Doctor
Medical Doctor Faculty Certificate
Medical Doctor Limited License
Medical Doctor Limited to Cleveland Clinic
Medical Doctor Limited to Mayo Clinic
Medical Doctor Public Health Certificate
Medical Doctor Public Psychiatry
Medical Doctor Resident Registration
Medical Doctor Visiting Faculty Certificate
Disclosure statements
Objectives
At the conclusion of this educational activity, learners will be better able to:
- Demonstrate effective root cause analysis of a sentinel event and implement strategies for its prevention.
- Apply root cause analysis reporting standards in accordance with the Joint Commission requirements.
- Identify the indications for reporting sentinel events to the Joint Commission and the steps that should be taken following the occurrence of such incidents.
- Collaborate within an interprofessional team to prevent the most common types of clinical errors and improve clinical outcomes.
StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.
Commercial Support: This activity has received NO commercial support.