Root Cause Analysis Of Medical Errors And Sentinel Events

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Root Cause Analysis in Health Care: A Joint …

https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action

Root cause analysis has been widely adopted as a strategy to investigate events, despite questions regarding its effectiveness in health care. This revised pubication provides information about updated approaches to root cause analysis with an …

Root Cause Analysis and Medical Error …

https://www.ncbi.nlm.nih.gov/books/NBK570638/

The root cause analysis should be clear and precise while providing appropriate depth and scope. The …

Sentinel Event | The Joint Commission

https://www.jointcommission.org/resources/sentinel-event/

The RCA2: Improving Root Cause Analyses and Actions to Prevent Harm describes methodologies and techniques that an organization or individuals can credibly and …

Sentinel Event - StatPearls - NCBI Bookshelf

https://www.ncbi.nlm.nih.gov/books/NBK564388/

The Joint Commission defines a sentinel event as an unexpected occurrence involving death, …

Sentinel Event Data Summary | The Joint Commission

https://www.jointcommission.org/resources/sentinel-event/sentinel-event-data-summary/

We develop and implement measures for accountability and quality improvement. Measures Assisted Living Community Measures Cardiac Care Emergency Department Health …

Root Cause Analysis: Responding to a Sentinel Event

https://journals.lww.com/homehealthcarenurseonline/Fulltext/2013/09000/Root_Cause_Analysis__Responding_to_a_Sentinel.6.aspx

Adverse events, including sentinel events, require comprehensive review to improve patient safety and reduce healthcare errors. Root cause analysis (RCA) provides an evidence …

Root Cause Analysis and Medical Error Prevention

https://www.statpearls.com/ArticleLibrary/viewarticle/131252

The root cause analysis should be clear and precise while providing appropriate depth and scope. The Joint Commission has identified a series of adverse …

How to Perform a Root Cause Analysis of a …

https://www.performancehealthus.com/blog/how-to-perform-a-root-cause-analysis-rca-after-a-sentinel-event

Root Cause Analysis Incident Reporting. A Root Cause Analysis (RCA) is a systemic approach towards problem solving used to determine the root …

Root Cause Analysis: Learning from Adverse Safety Events

https://pubmed.ncbi.nlm.nih.gov/26466177/

Root cause analysis (RCA) is a process to (a) identify factors that underlie variation in performance or that predispose an event toward undesired outcomes and (b) allow for …

Sentinel Events, Serious Reportable Events, and Root …

https://pubmed.ncbi.nlm.nih.gov/25742139/

Sentinel Events, Serious Reportable Events, and Root Cause Analysis. JAMA Ophthalmol. 2015 Jun;133(6):631-2.doi: 10.1001/jamaophthalmol.2015.0672. Authors. …

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