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National Center for Patient Safety

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arrow in graph paper circle Patient Safety Improvement Corps:  An AHRQ/VA Partnership
PSIC Home | Related Links | PSIC Sessions | RCA Tools | Session 1 | Session 2 | Session 3

Year Two: 2004-2005

Session One: September 21-24, 2004

Purpose:

The purpose of the first session of the Patient Safety Improvement Corps is to provide participants with the knowledge and skills necessary to conduct effective root cause analysis of adverse events and close calls with an emphasis on underlying system causes; prepare meaningful reports on their findings; develop and implement sustainable system changes based on analysis findings; measure and evaluate the impact of the safety intervention, and ensure the sustainability of effective interventions by transforming them into standard clinical practice.

Pre-Course Homework:

Course Brochure:

  • This Brochure is downloadable as a pdf.
  • Program accreditation information is also found in the Course Brochure.

RCA Tools:

  • Click here to access all of the tools, forms, cases, etc. that were presented during Session One regarding the root cause analysis process.

Resources:

  • Listed here are all the presentations from the September 2004 Patient Safety Improvement Corps Conference.

Session Two: January 24-27, 2005

Purpose:

The purpose of the second session of the Patient Safety Improvement Corps is to provide participants with the knowledge and skills necessary to implement, sustain, and evaluate an effective patient safety program that includes proactive risk assessment with an emphasis on underlying system causes and the development, measurement, and evaluation of integrated system changes.

PSIC Presentation Guidelines & Templates

Resources:

  • Listed here are all the presentations from the January 2005 Patient Safety Improvement Corps Conference.

Session Three: May 16-19, 2005

Purpose:

This session will focus on final project presentations by each of the Patient Safety Improvement Corps teams, along with presentations by guest speakers.

Project GuideLines & Templates

Course Brochure:

  • This Brochure is downloadable as a MS Word document.
  • Program accreditation information is also found in the Course Brochure.

Resources:

  • Listed here are all the presentations from the May 2005 Patient Safety Improvement Corps Conference.
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