RCA2: Improving Root Cause Analyses and Actions to Prevent Harm

Center for Healthcare Engineering and Patient Safety (CHEPS) Director Dr. James P. Bagian and CHEPS Program Manager Joe DeRosier served on the panel which produced a new report titled “RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.” The National Patient Safety Foundation (NPSF) panel released the report on June 16, 2015; it contains guidelines developed to help healthcare organizations improve the way they identify and investigate medical errors, adverse events, and close calls and then implement actions to mitigate or eliminate the identified risks. Dr. Bagian co-chaired the panel and DeRosier served as a principal writer of the report.

(Read more…)

CHEPS Travels to IIE Annual in Nashville

Moses Chan, Young-Chae Hong, Brian Lemay, and Rama Mwenesi of CHEPS along with Industrial and Operations Engineering student Kayse Maass traveled to Nashville, Tennessee from May 30th through June 2nd to present their work at the Institute of Industrial Engineers (IIE) Annual Conference and Expo.

(Read more…)