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 …

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
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 …

[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 …

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 …

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 …

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; …

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 …

Effects of an external ventricular drain alert protocol on venticulostomy placement time in the emergency department

H Chang, MA Silva, A Giner, S Ancheta, JG Romano… - Neurosurgical …, 2021 - thejns.org
OBJECTIVE Timely ventriculostomy placement is critical in the management of
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 …

[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 …