| Identify Comprehensive Systematic Analysis (CSA) Types used by the Defense Health Agency. |
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| Explain the uses of the Human Factors Analysis and Classification System (HFACS) categorization system to report causes of patient harm. |
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| Apply HFACS analysis to case example in a large group setting using Vevox. |
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| Describe Restorative Justice. |
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| Review and Apply Just Culture Algorithm to clinical scenarios. |
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| Discuss actions to ensure safety and begin evidence for CSA. |
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| Describe leadership actions to support staff after a Patient Safety Event (PSE). |
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| Identify critical touchpoints in a harm event to include in the event sequence. |
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| Describe the importance of thorough Factor identification and reporting to developing effective Corrective Actions. |
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| Identify common errors in Investigation Models. |
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| Explain the criticality of a linear relationship between causal factors, root causes, and Corrective Actions. |
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| Describe challenges in using a team to describe system error in a way that expresses group consensus. |
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| Discuss the process for selecting the appropriate databases and evidence to answer a clinical question. |
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| Explain the role of stakeholder engagement in Corrective Action implementation and sustainment. |
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| Describe requirements of the Health Safety Report (HSR) template. |
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| Apply the concepts of scoring using Feasibility, Acceptability, Cost/Benefit, Effectiveness, Sustainability, Risk (FACES-R). |
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