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Applying the Concepts of Error Prevention and Root Cause Analysis to Events Related to Crisis Behaviors |
Saturday, May 26, 2012 |
8:00 AM–11:00 AM |
2A (Convention Center) |
Area: PRA/TPC; Domain: Service Delivery |
CE Instructor: Merrill Winston, Ph.D. |
LARAINE WINSTON (Professional Crisis Management, Inc.), MERRILL WINSTON (Professional Crisis Management, Inc.) |
Description: Unlike professionals in medical fields and the allied therapies, behavior analysts and other human services professionals are not routinely trained in medical error (i.e., treatment error) prevention and management, and are rarely given the training and tools needed to conduct a thorough root cause analysis when adverse events related to crisis behaviors and responses to them do occur. This presentation covers important principles and practices borrowed from the medical error prevention movement that will help non-medical human services organizations increase the safety of their consumers and staff and reduce the risk to their organizations related to serving persons with behavioral challenges. A tool to use proactively as a risk assessment and for conducting a thorough root cause analysis will be presented and provided to participants. |
Learning Objectives: At the conclusion of this workshop, participants should be able to:
State significant events in the history of the error prevention movement and root cause analysis
Identify three methods used for conducting root cause analyses
Define sentinel events and behavioral sentinel events
Apply root cause analysis methods to a real life case study.
Demonstrate the use of the BCIRA tool |
Activities: Workshop participants will learn about current issues in crisis management and safety of consumers who engage in aggressive behavior, significant events in the history of the error prevention movement, and root cause analysis and how all of these issues apply to the work performed by behavior analysts. Methods for preventing, and conducting root cause analyses in response to, sentinel events will be presented, demonstrated, and practiced using real life case scenarios. The BCIRA risk assessment tool will be presented and reviewed. |
Audience: The target audience of this workshop is behavior analysts and other behavioral professionals who work hands on with consumers who exhibit aggressive behavior and who are subject to physical crisis management strategies (physical restraint). |
Content Area: Practice |
Instruction Level: Basic |