Handout 6.1-B Current Ethics Practice Currently, 65% of adverse events that cause harm to patients on surgical services are being disclosed to the patient or personal representative. Activity Instructions You will continue to work with your PE team arranged for the first activity (see Handout 6.1-A) on identifying causes of the ethics quality gap in the current ethics practice described above. In this second part of the process, your is to identify 2 or 3 root causes and present team’s job them to the group. You will: 1. Choose a recorder and a different spokesperson. 2. Select the 2 or 3 major causes using the voting technique discussed previously “vital few” with the whole group. 3. Create a new flipchart page for each major cause you have selected. Write the cause at the top of the flipchart page. 4. Use the 5 Whys process to drill down to a root cause for each major cause. Record your 5 Whys questions and answers under each major cause.
Handout 6.1-B Current Ethics Practice Currently, 65% of adverse events that cause harm to patients on surgical services are being disclosed to the patient or personal representative. Activity Instructions You will continue to work with your PE team arranged for the first activity (see Handout 6.1-A) on identifying causes of the ethics quality gap in the current ethics practice described above. In this second part of the process, your team’s job is to identify 2 or 3 root causes and present them to the group. You will: 1. Choose a recorder and a different spokesperson. 2. Select the 2 or 3 “vital few” major causes using the voting technique discussed previously with the whole group. 3. Create a new flipchart page for each major cause you have selected. Write the cause at the top of the flipchart page. 4. Use the 5 Whys process to drill down to a root cause for each major cause. Record your 5 Whys questions and answers under each major cause.
PE_BtB_Mod6_Handouts_final.docx