Implementing Recommendations from Incident Investigations and RCAs Webinar

The ACHS Improvement Academy is pleased to provide an interactive training session on Implementing Recommendations from Incident Investigations and Root Cause Analysis (RCA) using PDSA cycles. This webinar strongly links to the NSQHS second edition Standard 1.11 Clinical Incident Management, where there is requirement to ensure that the organisation uses information from the analysis of incidents to improve safety and quality.

During this session you will be taken through key principles and concepts to maximise your success in implementing recommendations including: 

  • how to develop strong recommendations which will increase the likelihood of driving systems improvement; 
  • the methodology for undertaking small cycle tests of change of those recommendations using PDSA cycles; and 

will conclude with how to develop a robust project plan to ensure that recommendations are fully implemented in a timely manner.

This training is relevant for: 

  • quality managers,
  • patient safety managers, 
  • front line clinicians, 
  • departmental or unit team managers, 
  • senior managers and executives - all of whom have responsibilities for ensuring continuous improvement in quality and safety following incident analysis.

This training will offer opportunities for interaction via Zoom for the participants. For this to be effective there can only be one participant registered per device.

“The same amount of effort that goes into incident investigation must go into the implementation of recommendations if repeat harm to patients is to be avoided”.
Adj Assoc Professor Bernie Harrison 


WHEN:    Wednesday, 3 February 2021 at 12:00 pm - 2 pm (AEDT)
  • $99 inclusive 10% GST (Single Registration)
  • Organisations who register three or more participants, will be eligible for a 15% discount on each registration ($84.15)
DURATION:   2 Hours
HOST:   Adj Assoc Professor Bernie Harrison, Director of the ACHS Improvement Academy
WHO:    Clinical governance directors, quality managers, patient safety managers, senior clinicians and executives.

Key Objectives: 

  • Understand how to develop ‘strong’ recommendations
  • Gain in-depth knowledge of how to test recommendations using PDSA cycles to understand when they work and when they fail, prior to full implementation
  • Understand the methods for measuring PDSA cycles
  • Know how to develop a project plan to ensure recommendations are implemented in a timely manner. 


Click Here to Register



Last Review Date 23 December 2020

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