A new pairing: root cause and success analysis
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Author(s):
- Deutsch, Ellen S., author Patterson, Mary D., author Perry, Shawna, J., author
- Contributor(s):
- Pennsylvania. Patient Safety Authority, issuing body.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2018
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Delivery of Health Care Medical Errors -- prevention & control Patient Safety Quality Improvement Root Cause Analysis Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- Root cause analysis (RCA) is commonly used in attempts to improve the safety of healthcare delivery, but a variation--success analysis--may also be useful. Traditional RCA is based in Safety-I principles: to improve safety, practitioners focus on serious events with undesired outcomes and attempt to identify what went wrong using investigative techniques. Success analysis, evolving from Safety-II principles, can be used to learn how success was achieved, reinforce correct decisions and actions, and learn how process modifications might contribute to greater improvements.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- Extent:
- 1 online resource (1 PDF file (4 pages)).
- NLM Unique ID:
- 101735854 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101735854