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Hosp Top ; 99(1): 1-14, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32969765

RESUMO

Improving patient safety within hospitals has become a major focal point for administrative and clinical action. Root Cause Analysis (RCA) is an analytical tool used by hospitals in quality improvement and patient safety efforts. While hospitals have widely embraced RCA, the effectiveness of the RCA process has been questioned in recent years. Based on a literature review and feedback from practicing administrators, this paper identifies current barriers to the effectiveness of the RCA process, and suggests actions to overcome them. A more effective RCA process will enable hospitals to establish a safer and more trustworthy care environment for patients.


Assuntos
Hospitais/estatística & dados numéricos , Análise de Causa Fundamental/normas , Humanos , Segurança do Paciente/normas , Análise de Causa Fundamental/métodos , Análise de Causa Fundamental/estatística & dados numéricos , Gestão da Segurança/métodos
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