Root Cause Analysis and Nursing Management Responsibilities in Wrong-Site Surgery

被引:11
作者
Dattilo, Elaine [1 ]
Constantino, Rose E. [2 ]
机构
[1] Univ Pittsburgh, Sch Nursing, RN BSN Program, Pittsburgh, PA 15261 USA
[2] Univ Pittsburgh, Sch Nursing, 3500 Victoria Bldg,Room 415, Pittsburgh, PA 15261 USA
关键词
Root cause analysis; Patient safety; Sentinel events; Surgery;
D O I
10.1097/00003465-200609000-00008
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The most fundamental reason for the failure or inefficiency of a process, in any work setting, is referred to as a root cause. Root cause analysis is the process of learning from consequences wherein healthcare providers take a step back and gain knowledge from near-misses, adverse events, or sentinel events in the operating room and all areas of healthcare. This article discusses root cause analysis and nursing management responsibilities as they relate to wrong-site surgery.
引用
收藏
页码:221 / 225
页数:5
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