Root cause analysis
Examine what happened, map the sequence of events, and explore the processes and organizational factors that may have contributed to an adverse event.
Understanding what happened. Strengthening what comes next.
Patient safety events can involve complex processes, communication, handoffs, and safeguards. A structured systems perspective can help identify contributing factors and opportunities for improvement.
Dr. Muhanad Hirzallah brings more than 20 years of healthcare experience and a PhD in Industrial and Systems Engineering. At Mayo Clinic, he served as Quality Improvement Advisor, Director of Performance Excellence, and Director of Business Applications. Through HOPE, he has advised healthcare leaders on patient safety, quality improvement, operational performance, and leadership development.
Examine what happened, map the sequence of events, and explore the processes and organizational factors that may have contributed to an adverse event.
Use FMEA to identify how a process could fail, assess potential effects, and prioritize opportunities to reduce risk before harm occurs.
Develop CAPA plans that address immediate concerns and longer-term prevention, with measures to assess whether improvements are working.
Support for attorneys and other parties seeking a healthcare systems and process improvement perspective.
Review relevant records and process information; examine workflows, handoffs, communication, escalation pathways, and safeguards; and explain systems-based findings.
Examine how organizations respond to safety concerns, develop corrective and preventive actions, and monitor the implementation and effectiveness of improvements.
Provide consulting and, where appropriate, expert testimony within Dr. Hirzallah’s areas of expertise. Engagements are evaluated according to the facts and the expertise required.
Where clinical opinions are needed outside his expertise, Dr. Hirzallah can collaborate with appropriately qualified clinical professionals.
HOPE supports leaders and teams with structured event reviews, process mapping, CAPA development, improvement planning, team education, and performance measurement. Our work draws on systems engineering, Lean Six Sigma, and practical experience across hospitals and health systems.
Dr. Hirzallah’s experience includes clinical improvement initiatives in surgery, sterile processing, patient flow, scheduling, and primary care, along with national and international consulting and leadership training. His professional background includes Lean Six Sigma Master Black Belt and patient safety training and service as a Malcolm Baldrige Award examiner.
Contact HOPE to discuss a potential engagement. Please do not include patient information or other sensitive details in your initial message.