this months theme of HRO is
Sensitivity to Operations
what does CTT stand for
Clinical Team Training
RCA stands for this
Root Cause Analysis
An HRO action item that we implemented in July to improve our operational readiness
Daily Management System (DMS)
Why are we implementing CTT training
To create a HRO -Zero Harm and reliable processes
The number of steps in a RCA are
5
name a Pillar of HRO
Leadership Commitment
Culture of Safety
Continuous Process Improvement
name a CTT goal for Phoenix
train 8-10 master trainers
train at least 1-2 units/teams with projects started
number of team members in a RCA
5-7 multidisciplinary team
Bridging the gap between "to err is human" and the Hippocratic oath to "do no harm"
Zero Harm
CTT course length of time
8 hours
why is a RCA important to complete
to create a safety culture, HRO, zero harm
name an HRO Value
It's About the Veteran
Support a Culture of Safety
Commit to Zero Harm
Learn, Inquire and Improve
Duty to Speak Up
Respect for People
Clear Communications
Project length of time
up to 12 months
name a step in an RCA
Assemble the team
research the event
describe the process
identify the root cause
create actions and outcome measures