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Gap Analysis Facilitator’s Guide

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Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes; Identifying the existing process Identifying the existing outcome(s) Identifying the desired outcome(s) Identifying and documenting the gap(s)Who should use this tool? The CANDOR Implementation TeamHow to use this tool: Conduct a gap Analysis prior to implementing the CANDOR process . In addition, periodic gap analyses can be conducted as part of an ongoing plan-do-study-act process to monitor progress toward its goal of fully implementing the CANDOR of ContentsGap Analysis process .

a. Is there a process in place for identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions? b. Do staff have access to a system for reporting adverse events? c. Do staff have access to a system for reporting disruptive behaviors? d. Is a root cause analysis conducted after serious reportable and sentinel ...

  Analysis, Process, Causes, Root, Root cause analysis, Gap analysis

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