Venier A-G
South West France HCAI Control Centre (CCLIN Sud-Ouest), Bordeaux University Hospital, F-33000, France.
J Hosp Infect. 2015 Apr;89(4):331-4. doi: 10.1016/j.jhin.2014.12.003. Epub 2014 Dec 30.
Infection control teams (ICTs) seek to prevent healthcare-associated infections (HCAIs). They undertake surveillance and prevention, promote safety and quality of care, and evaluate and manage risk. Root cause analysis (RCA) can support this work but is not widely used by ICTs. This paper describes how ICTs can use RCA to enhance their day-to-day work. Many different tools and methods exist for RCA. Its primary aim is to identify the factors that have led to HCAI, but RCA can also be used for near-misses. A team effort and multidisciplinary work are usually required. Published accounts and personal experience in the field indicate that an ICT that correctly uses RCA implements more effective prevention measures, improves practice and collaborative working, enhances teamwork, and reduces the risk of HCAI. RCA should be promoted among ICTs because it adds value to their work and helps to develop a hospital culture that anticipates and pre-empts problems.
感染控制团队（ICTs）致力于预防医疗保健相关感染（HCAIs）。他们开展监测与预防工作，促进医疗服务的安全性和质量，并评估和管理风险。根本原因分析（RCA）可支持这项工作，但尚未被ICTs广泛使用。本文描述了ICTs如何利用RCA来改进其日常工作。RCA有许多不同的工具和方法。其主要目的是识别导致HCAI的因素，但RCA也可用于未遂事件。通常需要团队协作和多学科合作。该领域已发表的报告和个人经验表明，正确使用RCA的ICT能够实施更有效的预防措施，改进实践和协作工作，加强团队合作，并降低HCAI的风险。应在ICTs中推广RCA，因为它能为其工作增添价值，并有助于营造一种能够预见和预防问题的医院文化。
