Just Culture and Event Investigation Training

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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 identified how mistakes can happen, you will learn ways to develop strategies to reduce the likelihood of these mistakes and reduce patients' risk of harm.

 

No dates posted yet.

 

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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.

 

No date posted yet.