July 6, 2009 | Mark Paradies

UK House of Commons Committee Calls for Medical Training to Include Root Cause Analysis Skills

Picture 3.png

Quotes from the report:

There must be much wider, and better, use of root-cause analysis, which is an investigative method that seeks to identify the underlying causes of an incident, with a view to preventing its repetition.”

There are serious deficiencies in the undergraduate medical curriculum, Tomorrow’s Doctors, which are detrimental to patient safety, in respect of training in:

clinical pharmacology and therapeutics;

diagnostic skills;

non-technical skills; and

root-cause analysis.

The apparent paucity of effective root-cause analysis in the NHS, along with other potential drawbacks of self-investigation by NHS organisations, raises the question of whether there ought to be something akin to the Air Accident Investigation Branch for healthcare.

There are serious deficiencies in the undergraduate medical curriculum, which are detrimental to patient safety, in respect of training in: clinical pharmacology and therapeutics; diagnostic skills; non-technical skills; and root-cause analysis.

For the complete report, see:

http://www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/151/151i.pdf

We’ve had several people from the UK NHS come to TapRooT® Training. All had very positive comments. Perhaps it’s time for wider use of advanced root cause analysis in the UK health system?


Categories
Show Comments

Leave a Reply

Your email address will not be published. Required fields are marked *