iVantage Health Analytics, Newton, MA, USA.
Department of Health Professions, James Madison University, Harrisonburg, VA, USA.
Hosp Top. 2021 Jan-Mar;99(1):1-14. doi: 10.1080/00185868.2020.1824137. Epub 2020 Sep 24.
Improving patient safety within hospitals has become a major focal point for administrative and clinical action. Root Cause Analysis (RCA) is an analytical tool used by hospitals in quality improvement and patient safety efforts. While hospitals have widely embraced RCA, the effectiveness of the RCA process has been questioned in recent years. Based on a literature review and feedback from practicing administrators, this paper identifies current barriers to the effectiveness of the RCA process, and suggests actions to overcome them. A more effective RCA process will enable hospitals to establish a safer and more trustworthy care environment for patients.
提高医院内的患者安全已成为行政和临床行动的主要焦点。根本原因分析（RCA）是医院在质量改进和患者安全工作中使用的分析工具。虽然医院广泛采用 RCA，但近年来 RCA 过程的有效性受到了质疑。本文通过文献回顾和对实际管理人员的反馈，确定了当前 RCA 流程有效性的障碍，并提出了克服这些障碍的措施。更有效的 RCA 流程将使医院能够为患者建立更安全、更值得信赖的护理环境。
