Development of Korean Root Cause Analysis Software for Analyzing Patient Safety Incidents
نویسندگان
چکیده
منابع مشابه
root-cause analysis of a potentially sentinel transfusion event: lessons for improvement of patient safety
errors prevention and patient safety in transfusion medicine are a serious concern. errors can occur at any step in transfusion and evaluation of their root causes can be helpful for preventive measures. root cause analysis as a structured and systematic approach can be used for identification of underlying causes of adverse events. to specify system vulnerabilities and illustrate the potential...
متن کاملRoot Cause and Error Analysis
Error is an inevitable part of life and cannot be completely eliminated, but it can be minimized. A root cause analysis is a technique for understanding the systematic error causes that is involved beyond a person or people to implement an errors and including field and environmental causes of errors when occur in this situation too. An important factor of an error occurrence is a root cause (c...
متن کاملRoot-cause analysis of a potentially sentinel transfusion event: lessons for improvement of patient safety.
Errors prevention and patient safety in transfusion medicine are a serious concern. Errors can occur at any step in transfusion and evaluation of their root causes can be helpful for preventive measures. Root cause analysis as a structured and systematic approach can be used for identification of underlying causes of adverse events. To specify system vulnerabilities and illustrate the potential...
متن کاملPariket: Mining Business Process Logs for Root Cause Analysis of Anomalous Incidents
Process mining consists of extracting knowledge and actionable information from event-logs recorded by Process Aware Information Systems (PAIS). PAIS are vulnerable to system failures, malfunctions, fraudulent and undesirable executions resulting in anomalous trails and traces. The flexibility in PAIS resulting in large number of trace variants and the large volume of event-logs makes it challe...
متن کاملImplementation of a mock root cause analysis to provide simulated patient safety training
Background The proposed revision to the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements includes participation in real or simulated patient safety activities, such as root cause analysis (RCA).1 Because exposure to RCA may occur with low frequency, a mock RCA was developed and piloted for feasibility with Hematology/Oncology fellows. Objective To impro...
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ژورنال
عنوان ژورنال: Quality Improvement in Health Care
سال: 2018
ISSN: 1225-7613,2288-078X
DOI: 10.14371/qih.2018.24.1.9