The predominant approach to improving safety in healthcare has involved studying adverse outcomes to identify system vulnerabilities and correct them. While this approach is useful, it has limitations. As a result of continuously investigating and analyzing errors, patient safety professionals can experience stress and may view their systems and teams as unusually unsafe.

Dr. Komal Bajaj, chief quality officer, and Dr. Lara Musser, deputy chief quality officer and practicing emergency medicine physician, at NYC Health + Hospitals/Jacobi and North Central Bronx, along with Kathy Lospinuso, RN, BSN, Esq., director of risk management at NYC Health + Hospitals/Jacobi; Gayle Kolt, MPH, RN, director of risk management and regulatory affairs at NYC Health + Hospitals/Jacobi and North Central Bronx, NCB Campus; Dr. Heidi Baer,, patient safety officer at NYC Health + Hospitals/Jacobi/NCB; and Vinita Parkash, senior research scientist at the Yale School of Public Health and clinical associate professor of Pathology at Yale School of Medicine, will articulate the value of Success Cause Analysis (SCA) in promoting learning and organizational culture change. They will describe SCA considerations for each component of traditional event analysis, how they established SCA within their organizations, and how you can deploy SCA in your facility. Additionally, participants will learn how to mitigate “third victim syndrome” for safety professionals analyzing only errors and how to involve patients and families in patient safety and quality process reviews.

To view the webinar recording, please visit the Patient Safety Authority's YouTube channel at: https://youtu.be/0rFSd1yzuxU.