运用综合根本原因分析来提高患者安全。
Using aggregate root cause analysis to improve patient safety.
作者信息
Neily Julia, Ogrinc Greg, Mills Peter, Williams Rodney, Stalhandske Erik, Bagian James, Weeks William B
机构信息
Veterans Health Administration (VHA) National Center for Patient Safety (NCPS), White River Junction VA Medical Center (VAMC), White River Junction, Vermont, USA.
出版信息
Jt Comm J Qual Saf. 2003 Aug;29(8):434-9, 381. doi: 10.1016/s1549-3741(03)29052-3.
Abstract
The authors describe use of aggregate root cause analysis, which provides a systematic process for analyzing high-priority, frequent events.
摘要
作者描述了汇总根本原因分析的使用，该分析为分析高优先级、频繁发生的事件提供了一个系统的过程。
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