Root cause analysis and nursing management responsibilities in wrong-site surgery.
The most fundamental reason for the failure or inefficiency of a process, in any work setting, is referred to as a root cause. Root cause analysis is the process of learning from consequences wherein healthcare providers take a step back and gain knowledge from near-misses, adverse events, or sentinel events in the operating room and all areas of healthcare. This article discusses root cause analysis and nursing management responsibilities as they relate to wrong-site surgery.
Dattilo
Elaine
E
University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania 15261, USA.
Constantino
Rose E
RE
D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D019300:Medical Errors / Q000517:prevention & control*; D009871:Operating Room Nursing; D012308:Risk Management / Q000379:methods*; D018571:Sentinel Surveillance; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D013597:Systems Analysis; D014481:United States