Preserving evidence is essential for effective RCAs
Ambulatory Quality and Compliance Insider, May 1, 2008
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A good root-cause analysis (RCA) is akin to the investigations done on the hit television series House. You start off with a set of facts and investigate, using a cause-and-effect analysis, to discover what is truly making the patient sick.
“In the case of House, it leads to a diagnosis,” says Gary Bonner, RN, MBA, account manager at the Hopewell, VA–based Reliability Center, Inc., which provides healthcare organizations with advice and software tools for conducting RCAs and Failure Modes and Effects Analyses (FMEA). “In the case of RCAs, it’s an acknowledgment of the root causes and the physical, human, and latent causes of that problem.”
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