This IS Long Term Care 2018

Institute for Safe Medication Practices (ISMP) Canada Workshop

Medication Safety: Incident Analysis (Root Cause Analysis) 

Workshop Overview:

This full-day workshop provides care team members with background theory and hands-on practice in incident analysis (root cause analysis). The workshop curriculum is derived from the Canadian Incident Analysis Framework.

Click here to view a sample agenda for full workshop (subject to change).

Workshop Details:

The workshop begins with an overview of the system approach in the management of error and introduction to human factors engineering principles. Root cause analysis (RCA) is a tool to help investigate adverse events and critical incidents in healthcare, identify and analyze root causes and contributing factors, and develop recommendations. Participants will learn how to conduct an RCA through interactive exercises and group work. The workshop will cover diagramming to support incident analysis, identification of contributing factor, summarizing the findings and developing and implementing recommended actions.

Learning Objectives:

Delegates will learn:
  1. How systems theory and human factors principles impact error potential and solution development;
  2. Why it is important to consider the full incident management continuum; 
  3. How to complete a system-based analysis; and 
  4. How to redesign systems for safety. 

Workshop Level:


Workshop Material:

If registering for the Learning Academy Live, an electronic copy of the course materials will be provided to you complimentary. Alternatively, you can select to purchase a hard copy of the material when registering for the workshop.

Workshop Details:

Wednesday, November 14, 2018
Registration and Breakfast: 8:00 am – 9:00 am*
Workshop: 9:00 am – 4:30 pm
Location: Queens Quay/Bay Room, Westin Harbour Castle, Toronto
 *Workshop registration will take place in the Frontenac Foyer.

    Click here to register    

Workshop Facilitators:

Andrea Cassano-Piché, Human Factors Engineer, Consultant, ISMP Canada   
Julie Greenall, Director of Projects and Education, ISMP Canada


Please contact:
Vinita Haroun
Director, Research & Knowledge Translation
Ontario Long Term Care Association
647.256.3496 (office)

This workshop is sponsored by: