THe National Patient Safety Foundation issued a new report entitled “RCA 2: Improving Root Cause Analyses and Actions to Prevent Harm”.
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.
The goals of the report are to identify methodologies and techniques that will lead to more effective and efficient RCA2 and to provide tools to evaluate individual RCA2 reviews so that significant flaws can be identified and remediated to achieve the ultimate objective of improving patient safety.
Source: http://hcqualitynews.org
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