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

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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?


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This entry was posted on Monday, July 6th, 2009 at 7:59 am and is filed under Documents, Medical/Healthcare, Performance Improvement. You can follow any responses to this entry through the RSS 2.0 feed. You can skip to the end and leave a response. Pinging is currently not allowed.

One Response to “UK House of Commons Committee Calls for Medical Training to Include Root Cause Analysis Skills”

  1. Mark Paradies says:
    July 7, 2009 at 4:54 pm

    One more idea for anyone interested in improving root cause analysis in the healthcare industry …

    Think about attending the “Eliminating Hospital Sentinel Events” track at the TapRooT® Summit being held on October 6-9, 2009, in Nashville, TN.

    For more information see these links:

    Summit web site -

    http://www.taproot.com/summit.php

    The Summit schedule (click on the track name to see the “Elininating Hospital; Sentinel Events” track schedule) -

    http://www.taproot.com/summit.php?t=schedule

    The Summit brochure -

    http://www.taproot.com/2009_Summit_Brochure.pdf

    What past attendees have to say -

    http://www.taproot.com/wordpress/2009/05/19/comment2009/

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