Lifting the lid on root cause analysis: A document analysis

K Singh - Safety science, 2018 - Elsevier
Abstract Background Root Cause Analysis (RCA) has been applied as a structured
analytical technique to investigate patient harm events in Queensland Health since 2005; …

Patient safety and suicide: learning in theory and practice from investigations of suicide as patient harm

E Fröding - 2022 - diva-portal.org
Suicide is a global public health challenge, around 700 000 people die from suicide every
year. A large proportion was in contact with healthcare close in time before death …

A bottom-up approach to understanding the efficacy of event-analysis in healthcare: paradigm shift from safety to resilience engineering

S Hegde, AZ Hettinger, RJ Fairbanks… - Proceedings of the …, 2013 - journals.sagepub.com
Root Cause analysis (RCA) is a widely implemented event-analysis tool in healthcare, used
to improve pa-tient safety. Several studies have assessed the effectiveness of RCA solutions …

Sentinel event reviews in the criminal justice system: a review of the literature

KB Friend, M Gordon, B Scarbrough… - Criminal Justice …, 2020 - Taylor & Francis
Trust between law enforcement officers and the communities they serve is essential to the
safety of our citizens. Relationships between police and communities have, however …

Benchmarking as a quality of care improvement tool for patients with ST-elevation myocardial infarction: an NCDR ACTION Registry experience in Latin America

A Caixeta, M Franken, M Katz, PA Lemos… - … Journal for Quality in …, 2020 - academic.oup.com
Objective We aim to examine the effect of benchmarking on quality-of-care metrics in
patients presenting with ST-elevation myocardial infarction (STEMI) through the …

Root cause analysis

A Raghavan - Management and Leadership–A Guide for Clinical …, 2015 - Springer
Root cause analysis (RCA) is a retrospective method of analyzing sentinel events and errors
aimed at identification of the “root cause” of the problem. The RCA process should be …

Nexus Between Heat and Air Pollution in Urban Areas and the Role of Resilience Planning in Mitigating These Threats

J Anbazu, NS Antwi - Advances in Environmental and Engineering …, 2023 - lidsen.com
Urban heat island (UHI) effects are evident in many cities globally. Studies have revealed
that UHI impacts air pollution and vice versa. However, it is observed that these two severe …

Curriculum development and implementation of a national interprofessional fellowship in patient safety

BV Watts, L Williams, PD Mills, DE Paull… - Journal of Patient …, 2018 - journals.lww.com
Objectives Developing a workforce skilled in improving the safety of medical care has often
been cited as an important means to achieve safer care. Although some educational …

Ferramentas para investigação de eventos adversos: revisão de escopo

LRG Mello, BP Christovam, APA Moreira… - Revista da Escola de …, 2022 - SciELO Brasil
Objective: To map, in the literature, the risk management tools aimed at investigating health
adverse events. Method: Scoping review according to the Joanna Brigss Institute, with …

After-Action Reviews and the Big Black Hole of Improvement Processes

NK Hipple, BD Hunter - Policing: A Journal of Policy and …, 2023 - academic.oup.com
University and campus public safety departments deal with a wide range of planned events
and incidents from felonious crimes, chemical spills, and other emergent incidents to routine …