How much of root cause analysis translates into improved patient safety: a systematic review
J Martin-Delgado, A Martínez-García… - Medical Principles and …, 2020 - karger.com
Objectives: The aim of this systematic review was to consolidate studies to determine
whether root cause analysis (RCA) is an adequate method to decrease recurrence of …
whether root cause analysis (RCA) is an adequate method to decrease recurrence of …
Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?
Background Despite over a decade of efforts to reduce the adverse event rate in healthcare,
the rate has remained relatively unchanged. Root cause analysis (RCA) is a process used …
the rate has remained relatively unchanged. Root cause analysis (RCA) is a process used …
[HTML][HTML] Sentinel event
KP Patra, O De Jesus - 2020 - europepmc.org
The Joint Commission defines a sentinel event as an unexpected occurrence involving
death, serious physical or psychological injury. The event can result in death, permanent …
death, serious physical or psychological injury. The event can result in death, permanent …
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 …
Clinical errors: Implementing root cause analysis in an area health service
S Vahidi, SH Mirhashemi, M Noorbakhsh… - … Journal of Healthcare …, 2020 - Taylor & Francis
Introduction: Medical errors are considered as threatening the patients' health and well-
being in healthcare and treatment systems. There are various methods offered for managing …
being in healthcare and treatment systems. There are various methods offered for managing …
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; …
analytical technique to investigate patient harm events in Queensland Health since 2005; …
Implementation of Quality Improvement System in a National Health System
BV Watts, K Calloway - American Journal of Medical Quality, 2024 - journals.lww.com
There is a continued need to improve the quality of health care services and the health
outcomes associated with that care. Quality improvement model and the Learning Health …
outcomes associated with that care. Quality improvement model and the Learning Health …
Effects of an external ventricular drain alert protocol on venticulostomy placement time in the emergency department
OBJECTIVE Timely ventriculostomy placement is critical in the management of
neurosurgical emergencies. Prompt external ventricular drain (EVD) placement has been …
neurosurgical emergencies. Prompt external ventricular drain (EVD) placement has been …
应用根因分析法降低急诊急救护理不良事件发生率
冯艳萍 - 职业卫生与应急救援, 2020 - oher.com.cn
应用根因分析法降低急诊急救护理不良事件发生率 Page 1 职业卫生与应急救援2020 年10 月第
38 卷第5 期 Occup Health & Emerg Rescue, Oct. 2020 Vol.38 No.5 护理不良事件泛指护理过程 …
38 卷第5 期 Occup Health & Emerg Rescue, Oct. 2020 Vol.38 No.5 护理不良事件泛指护理过程 …
[PDF][PDF] 上海市虹口区某医院2014—2019 年中毒病例特征分析
陶春芳, 姚玉华, 凌利民, 董华婷, 温学新… - 职业卫生与应急救援, 2020 - oher.com.cn
目的分析上海虹口区某医院近年中毒病例情况, 探讨中毒病例的特征, 为今后预防中毒的发生
提供数据支持. 方法收集上海市虹口区某医院2014 年1 月—2019 年12 月急诊收治的629 …
提供数据支持. 方法收集上海市虹口区某医院2014 年1 月—2019 年12 月急诊收治的629 …