Printer Friendly

Early Discussion and Resolution Upcoming Events

Other EDR Events
Learn about other trainings, seminars, and events related to Early Discussion and Resolution click here »

Avoid Band-Aid Solutions: Strengthening Adverse Event Investigations

Get the most out of your event investigations by attending this one-day course on identifying the causes and contributing factors of system failures and developing strong action plans. Learn root cause identification strategies to ensure that your organization is effectively analyzing underlying systems to determine where changes might reduce risk. Then hone your skills at developing strong, system-level action plans that ensure your investigations result in preventing similar adverse events in the future.

Regardless of the healthcare setting in which you work, if you are a healthcare professional who is responsible for the analysis and internal or external reporting of adverse events, this training can help you increase the value of your investigations of serious, less serious, and near miss events. By attending this training and strengthening your investigations, you can increase the quality of care you provide and decrease costs associated with repeated adverse events and readmissions. 

October 30, 2014 or
November 12, 2014

8:00am - 3:30pm
Ambridge Event Center, Portland, OR


Upon completion of the training, participants will be able to:

  • Describe the three levels of adverse event investigation
  • Differentiate between system-focused and individual-focused approaches
  • Use common root cause analysis tools such as cause-effect diagrams and 5 Whys
  • Identify root causes of events
  • Develop and implement strong action plans

Brochure »
Agenda »

Who Should Attend
This course is designed for patient safety, quality, and risk professionals from hospitals, long-term care settings, dialysis facilities, community pharmacies, and ambulatory surgery centers. The course also applies to healthcare professionals and others involved with adverse event investigation and mitigation.

Enrollment Fee
$50 includes lunch, materials, and continuing education fees (if applicable)

Continuing Education
Provider approved by the California Board of Registered Nursing, Provider Number 16180 for 7.4 contact hours.
Nursing facility administrator continuing education credits also available.


Contact us at 503-928-6158 or .(JavaScript must be enabled to view this email address)

Other Patient Safety Events

Annual Oregon Rural Health Conference
Oregon Office of Rural Health and Oregon Health & Science University
October 15 - 17, 2014

Annual Education Conference and Trade Show
Oregon Ambulatory Surgery Center Association
October 15-17, 2014

Annual Healthcare Quality Fall Conference
Oregon Association for Healthcare Quality
October 24-25, 2014

Introduction to Healthcare Quality Course
Oregon Health & Science University Center for Health & Healing
October 25, 2014

Oregon Lean Meeting
Oregon Association of Hospitals and Health Systems
November 4, 2014

Public Health Grand Rounds
Centers for Disease Control & Prevention

Professional Learning Series Webcasts
National Patient Safety Foundation

Marquam Hill Lectures
Oregon Health & Science University