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Just Culture: Event Investigation
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During the Just Culture Event Investigation Regional Training, you will learn about event investigation and how to determine what happened to cause a medical error or “near miss,” including human error, and at-risk and reckless behavior, using the Five Rules of Causation. Once you’ve identiἀed how mistakes can happen, you will learn ways to develop strategies to reduce the likelihood of these mistakes and reduce patients’ risk of harm.
- Oct. 12 Scripps Memorial Hospital Research Institute, La Jolla, CA
- Oct. 13 Hoag Memorial Hospital Presbyterian, Newport Beach, CA
- Oct. 22 Mercy Medical Center Redding, Redding, CA*
- Oct. 23 Shriners Hospital for Children (N. California), Sacramento, CA
- Oct. 29 St. Agnes Medical Center, Fresno, CA
- Oct. 30 Glendale Adventist Medical Center, Glendale, CA
- Nov. 4 Palo Alto Medical Foundation, Fremont, CA
- Nov. 5 Good Samaritan Hosptial, Los Angeles, CA
- Nov. 12 Sisters of St. Joseph of Orange, Orange, CA
- Nov. 13 Palo Alto Medical Foundation, Palo Alto, CA
Introduction to the Just Culture Model and Event Investigation
Registration Form
The California Patient Safety Action Coalition (CAPSAC) believes now is the time to align perspectives on accountability to ensure safer health care in California. However, we cannot do it alone. We invite you to help us create a pathway to a “Fair and Just Culture” for medical event reporting.
CAPSAC will be taking part in an important state-wide initiative to improve patient safety by changing perspectives on how to handle human errors and near misses in health care. As part of this initiative, CAPSAC will offer a class on a key best practice called a Fair and Just Culture for medical event reporting.
CAPSAC’s training aligns with legislation (SB158) that took effect January 1, 2009 that requires general acute-care hospitals, acute psychiatric hospitals, special hospitals and skilled nursing facilities to establish patient safety plans.
Oct. 22, 2009
Mercy Medical Center, Redding
2175 Rosaline Ave.
Redding, CA 96001-2509
Trainer K. Scott Griffith, Chief Operating Officer, Outcome Engineering, LLC
2009 Coalition Meeting Dates
All meetings run from 10 a.m. to 1:30 p.m.
Call-in information to be posted approximately 1 week prior to meeting date.
September 11th - The Doctors Company
185 Greenwood Road
Napa, CA 94558
Gamble Room
515 South Figueroa Street, Suite 1300
Los Angeles, CA 90071
New:
CAPSAC Just Culture Event Investigation, Online Registration
Expect to Check Poster
Questions :
If you have questions about the program, please email or call Jennifer Yanes at 650-330- 4395
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