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July 1, 2022 Development of a Taxonomy for Characterising Medical Oncology-related Patient Safety and Quality Incidents: A Novel Approach

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Taking Root Cause Analysis to the Next Level: From Rearview Mirror to Looking Out the Front Window

  • September 13, 2013

The evolution of RCAs at medical institutions is described by using the new Root Cause Analysis Information Exchange (RCAIE) established by CRICO’s Academic Medical Center Patient Safety Organization (AMC PSO).


The power of aggregation, and of insights gleaned from data analysis, coupled with the collective wisdom of shared experiences, helps in creating a powerful tool for advancing the nation’s quest for a culture of safety. [...] The RCAIE helps healthcare professionals track each root cause investigation, identify the contributing factors and system failures associated with the event, and note the actions taken in response to these incidents. The actions can be followed in detail, to the end points of completion and assessment of effectiveness.

 

 

Read the full-text article:

Keohane C, Kumar A, Sato L, Bingham KM. Taking Root Cause Analysis to the Next Level: From Rearview Mirror to Looking Out the Front Window. Inside Medical Liability. [Reprinted from the Third Quarter 2013 issue of Inside Medical Liability, PIAA.  Copyright, 2013]