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Process & Event Methods of Root Cause Analysis and Prevention

In addition to conforming to the requirements of the Joint Commission deployment of Root Cause Analysis (RCA) for Sentinel Events, Omnex teaches and employs an array problem solving tools to achieve reliable and capable processes. Depending on the nature of the error, failure or process incapability, these may include Creative thinking, Rational thinking, Decision thinking, FMEA Risk analysis and reduction, Cause and Effect Diagrams, Process Reliability Studies, Pareto Diagrams and Trend Charts, Process Flow Diagrams, Analysis of Variation, Control Charts and Control Plans, a full range of Advanced Statistical and Data Analysis Tools, and Designed Experiments.

Why?

  • Required by JCAHO LD.5.2
  • Medicare will not pay for Hospital-Acquired Conditions (HACs) starting Oct. 1 ,2008
  • Reduce risk and costs by eliminating:
    • HACs
    • Sentinel Events
    • Near Misses
    • Unsafe Practices & Conditions

Benefits?

  • The ability to Identify and eliminate systemic causes of failure and errors,
  • To Develop Standardized Work Solutions
  • To Develop and Implement Effective Control Strategies
    • Preventive
    • Error Proofing
  • To Achieve and sustain Health Care Process Reliability

Omnex’ methodology, through training and problem solving workshops enables systemic deployment of risk analysis and reduction tools and methodologies throughout the organization, to facilitators and practitioners alike. A key objective of this process is to develop a problem solving culture-one which does not tolerate errors, but uses them to learn and improve as a key element of Knowledge Management as well as risk reduction.

How?

  • Preventive:
    • Healthcare Failure Mode and Effects Analysis (FMEA)
    • Process Improvement
    • Measurement
    • Analysis
    • Methods
    • Controls
  • Preventive & Corrective
    • Root Cause Analysis (RCA) to JCAHO Standards
      • Occurrence Cause
      • Detection Cause
      • Systemic Cause
    • Disciplined Problem Solving
    • Process Reliability

Process Analysis, Problem Solving and Continual Improvement

  • HC Process Review using Medical FMEA
  • Root Cause Analysis and Team Problem Solving
  • Medical FMEA