Are you ready and willing to get to the root causes of problems? As Medicare, Medicaid, and major insurance companies increasingly deny payment for never events, it has become imperative that hospitals and doctors develop new ways to prevent these avoidable catastrophes from recurring. Proactive tools such as root cause analysis (RCA), basic failure mode and effects analysis (FMEA), and opportunity analysis (OA) are useful in preventing error, but in healthcare, such tools are often constrained by reticence to share information about mistakes and other problems inherent to the industry.
...well written and extremely applicable to health care. Every healthcare professional should have a copy.
- Matthew C. Mireles, President / CEO, Community Medical Foundation for Patient Safety, Bellaire, Texas
Patient Safety: The PROACT® Root Cause Analysis Approach addresses the proactive methodologies and organizational paradigms that must change in order to support and sustain such activities in the interest of patient safety. Written by reliability expert Robert J. Latino, this book provides a perspective on patient care from outside the health industry and culture. It teaches a proven approach that measures its effectiveness based on patient safety results, rather than compliance, and demonstrates the Return-On-Investment for using RCA to reduce and/or eliminate undesirable outcomes.
Addressing the contribution of human error to physical consequences, Latino explores ways to identify conditions that are more prone to result in human error. It also uses FMEA to proactively identify unacceptable risks, and then uses the concepts of RCA to prevent risks from materializing.
Are you ready to be tenacious in your approach and completely honest in your assessment?
Root Cause Analysis requires courage and honesty. When properly applied RCA will point out the problems and lead you to solutions.
Visit the author's website; find out if RCA is right for your organization
Robert J. Latino has spent the past 10 years researching the differences in industrial culture versus the healthcare culture. In this book, he expertly makes the appropriate modifications to proven methodologies to successfully bridge the proactive technologies from industry to healthcare. Additional information, including an audio-visual presentation by the author, is available on the PROACT website at http://www.proactforhealthcare.com
I. Recognizing and Supporting the Value of Proaction in Healthcare
The Need for Reliability Tools in Healthcare
Creating Management Support for a Proactive Environment to Succeed
II. Event Prioritization Techniques
Basic Failure Mode and Effects Analysis: The Traditional Approach
Opportunity Analysis (OA): The Modified Approach
III. Understanding Root Cause Analysis
Understanding Why Things Go Wrong
The PROACT® Root Cause Analysis (RCA) Methodology
IV. The PROACT ® Root Cause Analysis (RCA) Methodology
Preserving Event Data
Ordering the Analysis Team
Analyzing the Data: Introducing the Logic Tree
Communicate Findings and Recommendations
Tracking for Results
V. A Software Technology to Support Proaction
Automating Proactive Analyses: The Utilization of the PROACT® Suite Software Solution (Version 3.6+)
VI. From Theory to Practical Application
Appendix: Paradigm Shift Summary
"Mr. Latino’s book reflects how RCA can be used to address serious patient safety risk opportunities… . I believe this book would be welcomed in the healthcare field."
—Fay A. Rozovsky, JD, MPH, The Rozovsky Group, Inc./RMS
"… this book is helpful for the healthcare industry to utilize for improving patient quality and safety. The methodology provides a systematic approach to finding causes to chronic failures as well as root causes to undesirable outcomes."
—Shelby Forgacs, RN, Quality and Risk Evaluator
"I believe this book will be an eye opener for healthcare leadership and a great tool for healthcare professionals in risk, quality, and safety management."
—Anne Flood, RN, MA, Union Memorial Hospital/MedStar Health