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Training & Education
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Safer Care Victoria

Date & Time



This workshop is designed for health service workers who will conduct root cause analysis methodology in serious and sentinel events.

About this event

Spread over two half days, the training will go through the root cause analysis (RCA) methodology for health service staff and consumer advocates in reviewing serious and sentinel events.

NOTE: In order to attend this workshop, evidence must be provided of attendance at the Fundamentals of Adverse Patient Safety Event Reviews Workshop (or Incident Review workshop) within the last 3 years and have received a certificate of attendance.

What does this workshop cover?

Tuesday 13 September 2022 | (4hrs)

  • Recap on key concepts from Fundamentals
  • Preparing for analysis of Anthony’s story
  • Applying RCA to a case study: Elements 1 - 4

Wednesday 14 September 2022 | (4hrs)

  • Applying RCA to a case study: Elements 5 - 8
  • Workshop evaluation

Who should register?

Health service workers and consumer representatives who may participate in reviewing a sentinel or serious adverse event in Victoria.

As capacity is limited we will prioritise participants according to need including those who regularly lead or participate in adverse event incident reviews in Victorian health services.

NOTE: As capacity is limited, we will prioritise participants according to need. We will email you the outcome of this process.

Participants allocated a place will receive an email with pre-reading materials and other information prior to the workshop.

How much does it cost?

There is no charge for attending the above workshops. However, cancellation with less than three working days’ notice or failure to attend on the day will incur a fee of $385 that will be invoiced to your health service.

More information

For more information, please contact the Patient Safety Review Team on 1300 543 916 or

Page last updated: 24 May 2022