21 How is the prevention of Describe the HCO’s adverse outcome adverse outcomes procedures and how leadership plays a role communicated as a high within those procedures. priority? 22 How can orientation and Describe how orientation and ongoing in-service training be education needs of the staff are evaluated and improved? discuss its relevance to event. (e.g. competencies, critical thinking skills, use of simulation labs, evidence based practice, etc.) 23 Was available technology Examples may include, but are not limited to: used as intended? CT scanning equipment Electronic charting Medication delivery system Tele-radiology services 24 How might technology be Describe any future plans for implementation introduced or redesigned or redesign. Describe the ideal technology to reduce risks in the system that can help mitigate potential adverse future? events in the future. Action Plan Risk Reduction Strategies Measures of Effectiveness For each of the findings identified in Action Item #1: the analysis as needing an action, indicate the planned action expected, implementation date and associated measure of effectiveness. OR. … If after consideration of such a finding, Action Item #2: a decision is made not to implement an associated risk reduction strategy, indicate the rationale for not taking action at this time. to be sure that the selected Action Item #3: measure will provide data that will permit assessment of the effectiveness of the action.
21 How is the prevention of adverse outcomes communicated as a high priority? Describe the HCO’s adverse outcome procedures and how leadership plays a role within those procedures. 22 How can orientation and in-service training be improved? Describe how orientation and ongoing education needs of the staff are evaluated and discuss its relevance to event. (e.g. competencies, critical thinking skills, use of simulation labs, evidence based practice, etc.) 23 Was available technology used as intended? Examples may include, but are not limited to: CT scanning equipment Electronic charting Medication delivery system Tele-radiology services 24 How might technology be introduced or redesigned to reduce risks in the future? Describe any future plans for implementation or redesign. Describe the ideal technology system that can help mitigate potential adverse events in the future. Action Plan Risk Reduction Strategies Measures of Effectiveness For each of the findings identified in the analysis as needing an action, indicate the planned action expected, implementation date and associated measure of effectiveness. OR. … Action Item #1: If after consideration of such a finding, a decision is made not to implement an associated risk reduction strategy, indicate the rationale for not taking action at this time. Action Item #2: to be sure that the selected measure will provide data that will permit assessment of the effectiveness of the action. Action Item #3:
RCA_Questions_Framework_2_22_13.docx