Using aggregate root cause analysis to improve patient safety.
The authors describe use of aggregate root cause analysis, which provides a systematic process for analyzing high-priority, frequent events.
Neily
Julia
J
Veterans Health Administration (VHA) National Center for Patient Safety (NCPS), White River Junction VA Medical Center (VAMC), White River Junction, Vermont, USA.
Ogrinc
Greg
G
Mills
Peter
P
Williams
Rodney
R
Stalhandske
Erik
E
Bagian
James
J
Weeks
William B
WB
D006787:Hospitals, Veterans / Q000592:standards*; D006801:Humans; D010934:Planning Techniques; D017064:Process Assessment, Health Care / Q000379:methods*; D012308:Risk Management / Q000379:methods; D017751:Safety Management / Q000379:methods*; D012985:Software Design; D013597:Systems Analysis; D014481:United States; D014493:United States Department of Veterans Affairs