Latino Robert J
Reliability Center, Inc.
J Healthc Risk Manag. 2015 Sep;35(2):21-30. doi: 10.1002/jhrm.21198.
If a hundred healthcare executives were polled about their definitions of root cause analysis, there would be a hundred different answers. Herein lies the problem-understanding the intent and power of root cause analysis (RCA). For this reason, RCA is viewed as having either limited or phenomenal value to an organization. This article will seek to strip away the labels associated with RCA brands and focus on the processes, their results, and how they are communicated (or miscommunicated) to executive management. Effective RCA efforts can fail because of their inability to demonstrate their value to the bottom line of the organization.
如果对一百位医疗行业高管进行关于根本原因分析定义的调查,将会得到一百种不同的答案。这就是问题所在——理解根本原因分析(RCA)的意图和作用。因此,RCA对一个组织来说,要么被认为价值有限,要么被视为具有非凡价值。本文将试图去掉与RCA相关品牌的标签,专注于其流程、结果,以及它们如何(或被错误地)传达给管理层。有效的RCA努力可能会失败,因为它们无法向组织的底线证明自身价值。