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KMID : 1031020170230010025
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Quality Improvement in Health Care
2017 Volume.23 No. 1 p.25 ~ p.38
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Guidelines for Performing Root Cause Analysis
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Lee Hyun-Jung
Choi Eun-Young
Ock Min-Su
Lee Sang-Il
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Abstract
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Root cause analysis (RCA) is systematic process for identifying contributing factors and root causes. It detects system-level vulnerabilities and prevents them from occurring in the future. In many countries, RCA guidelines have been developed and used for these purposes, and various practical tools are suggested according to stages of RCA implementation. In Korea, adverse events occur in 7.2-8.3 percent of inpatients according to studies conducted in hospitals. However, frontline staffs are suffering from lack of knowledge about RCA implementation. This study introduces RCA guidelines that may be used in hospitals to improve the quality of medical care and patient safety.
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KEYWORD
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Patient safety, Root cause analysis, Guideline
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