Root Cause Analysis For Evaluating The Patient Falling With Fishbone Method

Root 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...

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...

Techniques for root cause analysis.

Analysis of Root Cause of the Fatal Occupational Accidents in a Gas Refinery Using the Tripod-Beta Method

Introduction: Most critical accidents in different industries are observable, but their severity is also predictable and can be controlled. Provided that accident analysis is properly managed with a preventive approach and based on correct findings, in a principled and realistic manner, root causes, corrective actions, and safety measures regarding accidents are performed. Material and Methods...

Scalable Root-Cause Analysis

From May 2 to May 7, 2010, the Dagstuhl Seminar 10181 Program Development for Extreme-Scale Computing was held in Schloss Dagstuhl Leibniz Center for Informatics. During the seminar, several participants presented their current research, and ongoing work and open problems were discussed. Abstracts of the presentations given during the seminar as well as abstracts of seminar results and ideas ar...