Root cause analyses performed in a children's hospital

events, action plan strength, and implementation rates.

Rustin B. Morse, Murray M. Pollack

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This study describes the types of events leading to the performance of root cause analyses (RCA) and the implementation rate and quality of the action plans developed for RCAs performed at a free standing children's hospital. Twenty serious adverse events resulting in RCAs took place between January 2007 and June 2009. A wide variety of events triggered RCAs however, 30% involved medication errors. Seventy-eight action plans were developed with an average of 3.9 ± 1.3 per RCA. Action plans were classified as weaker 46% of the time, intermediate 44% of the time, and stronger 10% of the time. Intermediate or stronger action plans were developed to address 90% of the events. Ninety-five percent of the action plans were implemented. This study demonstrates that RCA can be effectively utilized to consistently generate moderate and high impact action plans to address a diverse array of adverse events within a children's hospital. Near complete implementation of action plans can be achieved.

Original languageEnglish (US)
Pages (from-to)55-61
Number of pages7
JournalJournal for healthcare quality : official publication of the National Association for Healthcare Quality
Volume34
Issue number1
DOIs
StatePublished - Jan 2012

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Root Cause Analysis
Medication Errors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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