This on-demand webinar describes the rationale for and use of root cause analysis in reviewing cardiac surgery mortalities. Topics include:
• The Michigan experience with POCMA as a statewide method for quality improvement. Case examples of the analytical method are provided.
• POCMA at Johns Hopkins in its early experience assessment of TAVR mortalities.
• The phase of care systems concept in improving the process of ventilator support of post-op cardiac surgery patients.

Presenters
Francis L. Shannon, MD, Beaumont Cardiovascular Surgery, Royal Oak, MI
Glenn J.R. Whitman, MD, John Hopkins Hospital, Baltimore, MD
Kevin W. Lobdell, MD, Atrium Health, Charlotte, NC