Teachable Moment form

I am looking for a "Teachable Moment" form or something similar to use with staff as an alternative to a write-up or verbal warning. Something that allows the CNA's, nurses to evaluate on their own what their mistake was and what they can do to prevent the problem in the future. Write-ups tend to make the staff feel like they are being attacked, and something like this could be used frequently as a teaching tool.

At my facility we use something called a Root Cause Analysis (RCA). The person making the error is assured that no blame is placed on their action, and all involved personnel (the Nurse/Physician/other, Risk Management, Supervisor, etc.) are brought into a scheduled meeting and all aspects of the person's actions are looked at. Perhaps the person was rushed due to short staffing, or maybe there was a system error that could be fixed. A less formal meeting can take place if the action was less serious. Whatever the situation, a NO BLAME atmosphere must be stressed.

Many positive things have come out of these RCAs. Systems have been put in place to prevent similar errors from occurring, and inservices are presented to the staff for training and awareness of changes.

Hope this helps.