Improving the Effectiveness of Root Cause Analysis in Hospitals
Alexa J. Karkhanis, Jon M. Thompson
Abstract
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.
Topics & Concepts
SAFERRoot cause analysisPatient safetyProcess (computing)TrustworthinessQuality (philosophy)Medical emergencyMedicineRoot (linguistics)Quality managementBusinessProcess managementRisk analysis (engineering)Operations managementHealth careComputer scienceEngineeringPolitical scienceComputer securityForensic engineeringManagement systemLawPhilosophyLinguisticsEpistemologyOperating systemPatient Safety and Medication ErrorsMedical Malpractice and Liability IssuesHealthcare Quality and Management