Root Cause Analysis. | AHRQ Patient Safety Network

Root Cause Analysis. | AHRQ Patient Safety Network

• Maryland Meeting/Conference
 
• Published October 2019

Root Cause Analysis.

Maryland Patient Safety Center. October 8, 2019; Maryland Patient Safety Center, Elkridge, MD.

Root cause analysis is widely deployed as an error analysis tool in health care. This session will provide an introduction to root cause analysis and its application to organizational and clinical processes to prevent error. An Annual Perspective provides recommendations for enhancing root cause analysis to help investigate incidents and improve care.

Conference informationSummary (PDF)

Related Resources

JOURNAL ARTICLE › REVIEW

Root cause analysis for hospital-acquired pressure injury.

Black JM. J Wound Ostomy Continence Nurs. 2019;46:298-304.

JOURNAL ARTICLE › STUDY

Simulation-based event analysis improves error discovery and generates improved strategies for error prevention.

Lobos AT, Ward N, Farion KJ, et al. Simul Healthc. 2019;14:209–216.

PATIENT SAFETY PRIMER

Root Cause Analysis

JOURNAL ARTICLE › COMMENTARY

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration.

Soncrant CM, Warner LJ, Neily J, et al. AORN J. 2018;108:386-397.

JOURNAL ARTICLE › STUDY

Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments.

François P, Lecoanet A, Caporossi A, Dols AM, Seigneurin A, Boussat B. PLoS One. 2018;13:e0201067.

View More