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RCA2: Improving Root Cause Analyses and Actions to Prevent Harm
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NPSF presents this complimentary webcast with the generous support of The Doctors Company Foundation.

When: 7/15/2015
1:00-2:00 PM ET

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NPSF provides this complimentary webcast through the generous support of The Doctors Company Foundation.

The speakers will be discussing the recently issued report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm, which can be viewed or downloaded here.

Wednesday, July 15, 2015 | 1:00 pm ET

1:00pm – 2:00pm (Eastern) 
12:00pm – 1:00pm (Central)
10:00am – 11:00pm (Pacific)



Purchase Price: $0




James P. Bagian, MD, PE
Center for Health Engineering and Patient Safety
University of Michigan


Doug Bonacum, CSP, CPPS
Vice President, Quality, Safety, and Resource Management
Kaiser Permanente




At the end of the session, participants will be able to:

- Identify methodologies and techniques leading to more effective and efficient RCAs
- List tools to improve the process of completing RCAs to increase patient safety
- Identify and demonstrate tools that assist management in the evaluation process
- Identify advantages and techniques of employing explicit risk-based prioritization techniques for determining which patient safety related hazards and vulnerabilities require intervention
- To have a clear and credible report that identifies root causes and suggests strong, viable improvement strategies


- Welcome & Opening Remarks (5 mins)
- Main Presentation (45 mins)
- Question and Answer Session (10 mins)


Continuing education credits are not available for this event.


It is important to test your computer in advance of the webcast to make sure that you meet the minimum technical requirements to attend this event. You will also want to test your computer’s ability to stream flash video, which can also help identify potential firewall issues that could impair your ability to view the webcast. Please see the links below for more information and be sure to allow sufficient time prior to the event to complete these tests.


Technical Requirements Test


Firewall / Permanent Live Streaming Test

Minimum technical requirements include:

  • Microsoft PowerPoint

  • Windows Media Player or RealPlayer

  • One of the following web browsers: Internet Explorer version 6.0 of higher, Mozilla Firefox version 1.0 or higher, Netscape Navigator version 6.0 or higher, Apple Safari


For questions regarding this event, please contact NPSF at 617-391-9900 or email



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