I wanted to share a quick update that went out via CCRMC postcard from the Kaizen team.
Contra Costa Regional Medical Center Kaizen Safety Stream June 17-20, 2014
This was the third of five scheduled events dedicated to addressing our safety system as it relates to the Root Cause Analysis process. When a serious safety event occurs at the medical center or health centers, our organization uses a standard process called a "Root Cause Analysis" (RCA) to understand the system failures. Those failures are addressed by interviewing the staff involved and detailing a timeline of events. At the completion of the Root cause Analysis convening, the participants devise actions items to complete to prevent similar events from occurring in the future.
Here are the slides from the report out: