BEGIN:VCALENDAR VERSION:2.0 PRODID:-//ChamberMaster//Event Calendar 2.0//EN METHOD:PUBLISH X-PUBLISHED-TTL:P1H REFRESH-INTERVAL:P1H CALSCALE:GREGORIAN BEGIN:VTIMEZONE TZID:America/Chicago BEGIN:DAYLIGHT RRULE:FREQ=YEARLY;BYMONTH=3;BYDAY=2SU DTSTART:20070101T000000 TZOFFSETFROM:-0600 TZOFFSETTO:-0500 TZNAME:Central Daylight Time END:DAYLIGHT BEGIN:STANDARD RRULE:FREQ=YEARLY;BYMONTH=11;BYDAY=1SU DTSTART:20070101T000000 TZOFFSETFROM:-0500 TZOFFSETTO:-0600 TZNAME:Central Standard Time END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTART;TZID=America/Chicago:20260812T130000 DTEND;TZID=America/Chicago:20260812T143000 X-MICROSOFT-CDO-ALLDAYEVENT:FALSE SUMMARY:Root Cause Analysis for Fall Investigations: Applying Evidence-Based Best Practices to Prevent Recurrent Falls - WEBINAR - #WRQM2601 DESCRIPTION:This interactive training program equips nursing home teams with a structured\, evidence-based approach to conducting thorough Root Cause Analysis (RCA) following resident falls. The session moves beyond traditional incident reporting and blame-focused investigations to a systems-thinking framework that identifies underlying contributors and drives sustainable prevention. Content is aligned with current CMS guidelines\, The Joint Commission standards\, AHRQ fall prevention toolkits and CDC STEADI\, and the National Pressure Injury Advisory Panel fall related recommendations. Objectives: By the end of the session\, participants will be able to: Describe the regulatory expectations and evidence-based rationale for performing Root Cause Analysis rather than simple incident reporting after every fall (CMS Phase 3 Requirements of Participation\, F689 Free from Accidents). Differentiate between immediate cause\, contributing factors\, and true root causes using real nursing home fall scenarios. Identify the most common system-level root causes of falls in nursing homes\, supported by current literature such as: medication-related issues\, environmental hazards\, inadequate post-fall huddles\, communication breakdowns\, and care planning gaps. Implement an interdisciplinary post-fall huddle protocol within 24 72 hours that includes nursing\, therapy\, pharmacy\, maintenance\, and dietary staff to prevent recurrence for the individual resident and the broader population. Integrate RCA findings into the facility's QAPI (Quality Assurance & Performance Improvement) program to demonstrate measurable reduction in fall rates and fall-related injuries over time. Document RCA investigations in a defensible\, regulatory-compliant manner that withstands survey scrutiny and supports a culture of safety rather than blame. 1.5 Hours NAB ApprovedSpeaker: Linda Farrar\, RN\, LNHA\, Oklahoma Clinical Consultant\, LICA MedMan X-ALT-DESC;FMTTYPE=text/html:

 \;  \;  \;This interactive training program equips nursing home teams with a structured\, evidence-based approach to conducting thorough Root Cause Analysis (RCA) following resident falls. The session moves beyond traditional incident reporting and blame-focused investigations to a systems-thinking framework that identifies underlying contributors and drives sustainable prevention. \;

 \;  \;  \;Content is aligned with current CMS guidelines\, The Joint Commission standards\, AHRQ fall prevention toolkits and CDC STEADI\, and the National Pressure Injury Advisory Panel fall related recommendations. \;

Objectives: \;

By the end of the session\, participants will be able to: \;

·\; Describe the regulatory expectations and evidence-based rationale for performing Root Cause Analysis rather than simple incident reporting after every fall (CMS Phase 3 Requirements of Participation\, F689 Free from Accidents). \;

·\; Differentiate between immediate cause\, contributing factors\, and true root causes using real nursing home fall scenarios. \;

·\; Identify the most common system-level root causes of falls in nursing homes\, supported by current literature such as: medication-related issues\, environmental hazards\, inadequate post-fall huddles\, communication breakdowns\, and care planning gaps. \;

·\; Implement an interdisciplinary post-fall huddle protocol within 24&ndash\;72 hours that includes nursing\, therapy\, pharmacy\, maintenance\, and dietary staff to prevent recurrence for the individual resident and the broader population. \;

·\; Integrate RCA findings into the facility&rsquo\;s QAPI (Quality Assurance &\; Performance Improvement) program to demonstrate measurable reduction in fall rates and fall-related injuries over time. \;

·\; Document RCA investigations in a defensible\, regulatory-compliant manner that withstands survey scrutiny and supports a culture of safety rather than blame. \;

1.5 Hours NAB Approved

Speaker: Linda Farrar\, RN\, LNHA\, Oklahoma Clinical Consultant\, LICA MedMan

LOCATION: UID:e.1471.1386241 SEQUENCE:3 DTSTAMP:20260715T170827Z URL:https://members.careoklahoma.com/education-classes/Details/root-cause-analysis-for-fall-investigations-applying-evidence-based-best-practices-to-prevent-recurrent-falls-webinar-wrqm2601-1636947?sourceTypeId=Hub END:VEVENT END:VCALENDAR