Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?

KM Kellogg, Z Hettinger, M Shah… - BMJ quality & …, 2017 - qualitysafety.bmj.com
… . The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J
Qual Patient Saf 2008;34:391–8. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=…

Are root cause analyses recommendations effective and sustainable? An observational study

PD Hibbert, MJW Thomas, A Deakin… - … Journal for Quality in …, 2018 - academic.oup.com
… of root cause analysis (RCA) recommendations and their perceived levels of effectiveness
… to try to prevent the recurrence of AEs is to undertake a review of care, such as a root cause

Linking root cause analysis to practice using problem-based learning

MW Hand, SA Seibert - Nurse Educator, 2016 - journals.lww.com
… There are few examples in the nursing literature for best … the media or scholarly literature.
The cases used for the RCA … included a meta-analysis), analyzed the effectiveness of PBL and …

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review

BEJM Driesen, M Baartmans, H Merten… - Journal of Patient …, 2022 - journals.lww.com
… medical is that it intends to build a database of multiple events to find reoccurring patterns
of root causes. Based on these patterns, it might be possible to formulate more effective

Lifting the lid on root cause analysis: A document analysis

K Singh - Safety science, 2018 - Elsevier
… was masked by language decoys that saw relevant cause and effect information … name,
as root cause analysis implies a reductionist view. Typically, the literature is united in …

A root cause analysis method for preventing erratic behavior in software development: PEBA

H Mohammadnazar, M Pulkkinen… - Reliability Engineering & …, 2019 - Elsevier
… developed in this research by conducting an extensive literature … there is request for
performance and criticality analysis of the … , telling you should follow this template, you should do

Root Cause Analysis: Parsing Complex Challenges in Academic Libraries

K Sobel - The Journal of Academic Librarianship, 2017 - Elsevier
… Note that other fields have produced additional literature that does not appear in this paper…
help to mitigate multiple effects. Actions that appear several times in an RCA cause and effect

Root-cause analysis: swatting at mosquitoes versus draining the swamp

P Trbovich, KG Shojania - BMJ quality & safety, 2017 - qualitysafety.bmj.com
… Missing such information, we will often fail to create a complete enough picture of the deep
… . The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual …

Root cause analysis

T Reeves, C Mendat, E Shaver - Applied Human Factors in Medical Device …, 2019 - Elsevier
… contains more oxygen that it does if she is not aware of the effect of temperature on the
gauge's performance. The goal of Root Cause Analysis of a use error is to locate the source of …

Root cause analysis of cases involving diagnosis

ML Graber, GM Castro, M Danforth, JL Tilly… - Diagnosis, 2024 - degruyter.com
root cause analyses (RCA’s) can be modified to study cases involving diagnosis. There are
… RCAs can help identify specific issues that are ripe for performance improvement initiatives. …