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NPSF Webcast: Implementing RCA2: Lessons from the Trenches: Ochsner Clinic/Health System
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NPSF Webcast: Implementing RCA2: Lessons from the Trenches: Ochsner Clinic/Health System

When: Tuesday, October 18, 2016
1:00-2:00pm Eastern Time
Where: Online Webcast
United States

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 This webcast series is supported by a grant from The Doctors Company Foundation. 

October 18, 2016 | 1-2 pm ET

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



Unfortunately, this webcast is no longer available.


Purchase Price: Complimentary



James P. Bagian, MD, PE


Center for Health Engineering and Patient Safety

University of Michigan


Jessica Behrhorst, MPH, CPHRM, CPHQ

Director of System Quality & Patient Safety

Ochsner Health System


Richard D. Guthrie, Jr., MD, CPE

System Chief Quality Officer

Ochsner Health System



This presentation will focus on the experience of Ochsner Medical Center in implementing the recommendations of NPSF’s recent report, RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Ochsner Medical Center is part of Louisiana’s largest non-profit, academic, health care system. Ochsner’s Chief Quality Officer, Dr. Richard Guthrie, will narrate the story of Ochsner’s transition from an organization with a lack of a formal culture of safety and fearful frontline staff to full implementation of the recommendations in the RCA2 report, including the importance of completing RCAs for certain events that have not caused harm.


Ochsner’s presentation will cover:

  • Successes and challenges in implementation
  • Tools and resources from the RCA2 report
  • Experience of culture before and after implementation

This event is one of four webcasts in the NPSF Spotlight Series: Implementing RCA2: Lessons from the Trenches. See here for more information on the NPSF Spotlight Series.


  • 1:00-1:05 pm ET - Introduction (NPSF)
  • 1:05-1:45 pm ET - Presentation with PowerPoint (Featured Speakers)
  • 1:45-1:55 pm ET - Moderated Question and Answer Time (NPSF and Featured Speakers)
  • 1:55-2:00 pm ET - Closing Remarks (NPSF)


A total of 1.00 contact hours is available toward the fulfillment of the requirements of CPPS (Certified Professional in Patient Safety) recertification. No additional pre-approved continuing education is available for this webcast.



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;F:APIUTILS!10 


Computer Tips 

Minimum technical requirements include:

  • Microsoft PowerPoint
  • Windows Media Player or RealPlayer
  • One of the following web browsers: Internet Explorer version 8.0 or higher, Mozilla Firefox version 36 or higher, Google Chrome version 41 or higher, Apple Safari 5 or higher.


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


 Unfortunately, this webcast is no longer available.


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