Every health care professional should be focused on providing services in an environment that is safe and free from harm. Unfortunately, human error and flawed processes can lead to adverse events and undesired outcomes. The ability to lead and effectively review and analyze adverse events through a root cause analysis (RCA) can improve safety and add value to any health care organization. This webinar is designed to provide tools and methodologies to assist in developing and improving your organization’s health care RCA process.
- Describe the difference between event severity and outcome severity.
- List three action hierarchies and an example from each one.
- Provide three possible members for the RCA team.
- Provide four enterprise risk management domains that should be included in the RCA process.
- Define what ACA stands for and when it is used to address adverse events.
Faye Dance Sheppard, RN, MSN, J.D., CPHRM, CPPS, DFASHRM, risk management and patient safety services, Patient Safety Resources
Faye Dance Sheppard has over 40 years of health care experience with a focus on patient safety and risk management. She received her Bachelor of Science in Nursing from Florida State University (1977), a Master of Science in Nursing from the University of Texas (1980) and a Doctor of Jurisprudence from Texas Tech University (1984). She provided direct nursing care in a variety of settings, taught nursing at Texas Tech University Health Sciences Center for two years and served as legal counsel for more than 15 years in a tertiary pediatric health care system and 10 years as the director of risk management of a large acute care health care system. Currently, she is providing risk management and patient safety services for Patient Safety Resources and serves as vice-chair of the board of directors for Cuero Regional Hospital.
Sheppard is distinguished fellow (DFASHRM) and has been an active member in the American Society of Healthcare Risk Management (ASHRM) for many years, including serving as president in 2018. She has been chair of the Patient Safety Task Force and led the effort to create ASHRM’s “Patient Safety Risk Management Playbook”; serves as a member of ASHRM’s ERM faculty; contributed to ASHRM’s 2020 ERM Playbook; and has been a contributor to ASHRM’s RCA Playbook and facilitator and team member guides. She was also a member of the board of advisors for the National Patient Safety Foundation from 2013 until 2017 and served as a subject matter expert for its publication “RCA2 : Improving Root Cause Analyses and Action to Prevent Harm.” She is a frequent speaker and writer on risk management and patient safety topics.
Who should attend
Health care professionals who are interested in learning about ways to improve their organization’s RCA process.
Minnesota Department of Health
The program has been designed to meet the Minnesota Board of Nursing continuing education requirements for a total of 1 contact hour.
- $49 per person for MHA member hospitals and health systems
- $59 per person for associate members
- $99 per person for nonmembers
Please register by 5 p.m. on April 27 to ensure timely delivery of access instructions.
Approximately four business days before the web conference, you will receive an email that contains instructions on how to connect. Advance registration is required to ensure delivery of instructional materials.
If you do not receive an email from Christy Hammer prior to the program with web conference details, please contact firstname.lastname@example.org to confirm your registration.