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12/1/2011 5:00 PM

A revised draft version of the Canadian Root Cause Analysis Framework, provisionally titled the Canadian Framework for Managing Patient Safety Incidents (Framework) is now available for stakeholder input. 

Two national webinars have been scheduled to outline the changes to the Framework and launch the open consultation. An English session will take place on Tuesday, November 22nd and a French session on Thursday, November 24, 2011 from 12:00 pm to 1:30x pm EST.  Click here to register.

A survey will be sent to those that participated in the national webinars and other stakeholders to gather input and feedback on the draft Framework. A survey report will be compiled by the end of the year and this information will be used to finalize content for the new Framework.  The Canadian Framework for Managing Patient Safety Incidents will be released in early 2012.

This Framework is a resource designed to support organizational learning and quality improvement. It is intended to help individuals and organizations across the healthcare continuum determine, prioritize and manage the factors that contribute to a patient safety incident, develop and implement more robust and precise recommended actions, evaluate outcomes, and share learning for system improvement.

Key enhancements to the Framework will:

    • Replace the term “root cause” with “contributing factors”, to better reflect how incident analysis fits with other activities surrounding a patient safety incident.
    • Introduce concepts related to complexity and interconnections that better reflect the realities of the current healthcare system.
    • Provide two methods for analysis of individual incidents (concise, comprehensive) and two methods for analysis of multiple incidents (cluster and aggregate) to allow effective use of limited resources dedicated to incident analysis.
    • Offer guidance on how to effectively develop, synthesize, prioritize and manage recommended actions across the organization to ensure those with the most impact are being implemented.

Under the guidance of the Canadian Framework for Managing Patient Safety Incidents Working Group, a draft Framework was created and initial consultations have taken place with Canadian experts, including healthcare leaders, Deputy Ministers, patient safety and quality improvement professionals, and patients and families. The feedback and recommendations received have been integrated into the revised draft of the Framework.

This is your opportunity to provide feedback!  We value your input and look forward to hearing your thoughts on the revised Framework through the survey.  For more information on the Framework, webinars and the survey, contact Ioana Popescu