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Going Beyond Root Cause Analysis_Key Takeaways

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To learn why over 4,000 organisations trust RLDatix to support their patient safety initiatives, visit or contact us here. The innovative approaches to reduce common causes of harm Utilise tools to visualise data in order to get the most out of your investigation and create a structured workflow for the investigation: Conduct effective healthcare investigations and root cause analyses of incidents, claims, mortalities and more. Draw on previous learnings by connecting to a library of potential solutions, or feed in new learnings and recommendations, ensuring investigation learning delivers real life improvement to management of risk. Standardise investigation workflows with information presented in review-focused layouts, via tools that encourage insight and understanding of contributing factors. Collect data via integration with other systems to feed in patient, staff, medical and other relevant data surrounding the event. How to systematically review recommendations to implement learning Use an aggregate/comparator system to understand how many individuals will benefit from a recommendation or control, the potential cost savings, whether it is affordable and if it will reduce risk. Take a holistic view to your recommendations and controls by triangulating your data to identify other investigations that a recommendation or control has been linked to, or which risks in your organisation a control is being used to mitigate, creating a continuous review. Create an organisational memory by linking your recommendations and controls with your contributory factors to keep track of the most common causes of harm and identify the most commonly used controls. Align your organisation to the HSE Patient Safety Strategy with six key steps: Adopt a CANDOR approach to adverse events. Use a system that can capture all types of feedback and implement the Communication and Optimal Resolution (CANDOR) approach to adopt an empathic and supportive approach to adverse events. Empower and engage staff to improve patient safety. Implement a 'care for the caregiver' programme to help staff feel listened to and supported as they seek emotional first aid, improving patient outcomes and satisfaction. Anticipate and respond to risks. Proactively respond to and monitor risk by leveraging a system that provides actions and recommendations. Reduce common causes of harm. Use a system that empowers staff to take control of patient safety data, allowing them to set thresholds, report on incidents and dive deep into the common causes of harm. Utilise information to improve patient safety. Create a supportive and open learning culture with a Safety Learnings tool that enables you to share key learning themes and areas of excellence. Join a community of patient safety champions. Join a world leading patient safety community and discover insights and evidence to start your journey to Zero Harm. 1 2 3 4 5 6 K E Y T A K E A W A Y S Fika with RLDatix: Going Beyond Root Cause Analysis

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