Implementation of a mock root cause analysis to provide simulated patient safety training
نویسندگان
چکیده
منابع مشابه
Implementation 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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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...
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ژورنال
عنوان ژورنال: BMJ Open Quality
سال: 2017
ISSN: 2399-6641
DOI: 10.1136/bmjoq-2017-000096