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KMID : 1138720200460030001
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Korean Public Health Research
2020 Volume.46 No. 3 p.1 ~ p.13
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Experiences of patient safety managers who conducted root cause analyses
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Choi Eun-Young
Ock Min-Su
Lee Sang-Il
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Abstract
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Purpose: This study aimed to explore the experiences of patient safety managers who conducted root cause analysis (RCA).
Methods: An on-line questionnaire survey was done to investigate the current state of RCA, barriers, and benefits in conducting RCA. A total of 236 patient safety managers participated in the survey. Data was analyzed using descriptive statistics, one-way analysis of variance, and chi-square test.
Results: The current state of RCA activities varied between hospitals. Most participants had difficulties in their technical skills during RCA process, such as lack of knowledge of RCA methodology, insufficient information about incidents, difficulty in team activities, and lack of confidence in the RCA. There were also challenges related to organizational culture, including the defensive attitude of medical staff, the lack of time and resources, and the weak support of the hospital management. Nevertheless, most participants agreed on the benefits of RCA.
Conclusion: In order to promote successful RCA in hospital, it is necessary not only to improve the difficulties encountered during conducting RCA but also to consider organizational support for RCA.
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KEYWORD
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root cause analysis, patient safety incident, medical error, patient safety
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