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ㆍ 제목 RCA2: Improving Root Cause Analyses and Actions to Prevent Harm
ㆍ 조회수 2595 ㆍ 등록일시 2015-06-25
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RCA2: Improving Root Cause Analyses and Actions to Prevent Harm

Report issued by the National Patient Safety Foundation

Root cause analysis (RCA) is a process widely used by health professionals to learn how and why errors occurred, but there have been inconsistencies in the success of these initiatives. With a grant from The Doctors Company Foundation, NPSF convened a panel of subject matter experts and stakeholders to examine best practices around RCAs and develop guidelines to help health professionals standardize the process and improve the way they investigate medical errors, adverse events, and near misses.

 

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