“Success Cause Analysis” as a Strategy to Promote Learning and Staff Engagement

The predominant approach to improving safety in healthcare has involved studying adverse outcomes to identify system vulnerabilities and correct them. While this approach is useful, it has limitations. As a result of continuously investigating and analyzing errors, patient safety professionals can experience stress and may view their systems and teams as unusually unsafe.

The session will
• explain the value of Success Cause Analysis (SCA) in promoting learning and organizational culture change
• describe SCA considerations for each component of traditional event analysis
• how they established SCA within their organizations
• how you can deploy SCA in your facility
• how to mitigate “third victim syndrome” for safety professionals analyzing only errors and how to involve patients and families in patient safety and quality process reviews.

Presenters include:
• Dr. Komal Bajaj, chief quality officer, NYC Health + Hospitals/Jacobi and North Central Bronx
• Dr. Lara Musser, deputy chief quality officer and practicing emergency medicine physician, NYC Health + Hospitals/Jacobi and North Central Bronx
• Kathy Lospinuso, RN, BSN, Esq., director of risk management, NYC Health + Hospitals/Jacobi
• Gayle Kolt, MPH, RN, director of risk management and regulatory affairs, NYC Health + Hospitals/Jacobi and North Central Bronx, NCB Campus
• Vinita Parkash, senior research scientist at the Yale School of Public Health and clinical associate professor of Pathology at Yale School of Medicine

1.0 continuing education hours will be awarded for completion of this course. Continuing education credits apply to Pennsylvania registered nurses only.