Exploring the “Black Box” of Recommendation Generation in Local Health Care Incident Investigations: A Scoping Review
Background Incident investigation remains a cornerstone of patient safety management and
improvement, with recommendations meant to drive action and improvement. There is little …
improvement, with recommendations meant to drive action and improvement. There is little …
Team experiences of the root cause analysis process after a sentinel event: a qualitative case study
S Liepelt, H Sundal, R Kirchhoff - BMC Health Services Research, 2023 - Springer
Background Root cause analysis (RCA) is a systematic approach, typically involving several
stages, used in healthcare to identify the underlying causes of a medical error or sentinel …
stages, used in healthcare to identify the underlying causes of a medical error or sentinel …
Implementation of Root Cause Analysis on Patient Safety Iincidence in Hospital: Literature Review
RT Alifia, I Dhamanti - Journal of Public Health Research and …, 2022 - repository.unair.ac.id
Background: Root cause analysis (RCA) is a process used by hospitals to reduce the level
of patient safety incidents. The minimized application of root cause analysis has resulted in …
of patient safety incidents. The minimized application of root cause analysis has resulted in …
Root cause analysis for understanding patient safety incidents in nursing student placements: A qualitative content analysis
C Ropero-Padilla, VM González-Chordá… - Nurse Education in …, 2022 - Elsevier
Aim to explore nursing students' experiences with the use of RCA technique in patient safety-
related incidents during clinical placements. A secondary descriptive qualitative content …
related incidents during clinical placements. A secondary descriptive qualitative content …
[HTML][HTML] The pursuing excellence collaborative: engaging first-year residents and fellows in patient safety event investigations
Objectives Resident and fellow engagement in patient safety event investigations (PSEIs)
can benefit both the clinical learning environment's ability to improve patient care and …
can benefit both the clinical learning environment's ability to improve patient care and …
What are the experiences of team members involved in root cause analysis? A qualitative study
R Willis, T Jones, J Hoiles, PD Hibbert… - BMC Health Services …, 2023 - Springer
Background Conducting root cause analysis (RCA) is complex and challenging. The aim of
this study was to better understand the experiences of RCA team members and how they …
this study was to better understand the experiences of RCA team members and how they …
Validity of root cause analysis in investigating adverse events in psychiatry
M Deshpande, JMA Sinclair… - The British Journal of …, 2023 - cambridge.org
Root cause analysis (RCA), imported from high-reliability industries into health two decades
ago, is the mandated methodology to investigate adverse events in most health systems. In …
ago, is the mandated methodology to investigate adverse events in most health systems. In …
[图书][B] Safety leadership: a different, doable and directed approach to operational improvements
RJ De Boer - 2021 - taylorfrancis.com
Aimed at those who are responsible for the overall performance of organisations, divisions
or departments in diverse industries such as healthcare, aviation, construction, oil and gas …
or departments in diverse industries such as healthcare, aviation, construction, oil and gas …
Sentinel events and miscommunication what do we know in 2021: a language and social psychology framework
The paper explored the extent to which hospital appointed official root cause analysis (RCA)
panels consider antecedent and proximal events when they investigate communication …
panels consider antecedent and proximal events when they investigate communication …
[HTML][HTML] Contributing Factors to Adverse Events in Long-Term Care Facilities in Ireland, a Content Analysis
N McGrane, P Dunbar, LM Keyes - Journal of the American Medical …, 2024 - Elsevier
Objectives There is substantial research on contributing factors to adverse events (AEs) in
acute settings. Little is known about AEs in long-term care facilities (LTCFs). Our aim was to …
acute settings. Little is known about AEs in long-term care facilities (LTCFs). Our aim was to …