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KMID : 1031020180240010009
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Quality Improvement in Health Care
2018 Volume.24 No. 1 p.9 ~ p.22
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Development of Korean Root Cause Analysis Software for Analyzing Patient Safety Incidents
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Choi Eun-Young
Lee Hyun-Jung
Ock Min-Su
Lee Sang-Il
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Abstract
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Purpose: The purpose of this study is to develop the Korean root cause analysis (RCA) software that can be used to systematically investigate underlying causes for preventing or reducing recurrence of patient safety incidents.
Methods: We reviewed the existing guidelines and literatures on the RCA in order to figure out the RCA process. Also we examined the existing RCA softwares for investigating patient safety incidents to design the contents and interface of the RCA software. Based on the results of reviewing literatures and softwares, we developed a draft version of the Korean RCA software that can be easily used in Korean hospital settings by RCA teams.
Results: The Korean RCA software consisted of several modules, which are modules for identifying patient safety incidents, organizing RCA team, collecting and analysing data, determining contributory factors and root causes, developing the action plans, and guiding evaluation.
Conclusion: The Korean RCA software included optimized RCA process and structured logic for cause analysis. Thus even beginners in RCA are expected to easily use this software for investigating patient safety incidents. As software has been developed with the public financial support, it will be distributed free of charge. We hope that it will contribute to facilitating patient safety improvement activities in Korea.
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KEYWORD
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Root cause analysis, Software, Patient safety
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