title: Service improvement. Uprooting the causes.
abstract: Root-cause analysis helps organisations to understand and address outcomes without focusing on the symptoms. A pilot led by Eastern and Coastal Kent PCT has helped the local health economy to plan to reduce infections. East Kent Hospitals is building a zero-tolerance culture.
authors.forename: Andy
authors.initials: A
authors.lastname: Cowper
mesh_terms: D015984:Causality; D016360:Clostridioides difficile; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control; D004761:Enterocolitis, Pseudomembranous / Q000453:epidemiology / Q000517:prevention & control; D006779:Hospitals, Public; D006801:Humans; D017053:Infection Control / Q000458:organization & administration*; D016106:Methicillin Resistance; D010865:Pilot Projects; D013203:Staphylococcal Infections / Q000453:epidemiology / Q000517:prevention & control; D013211:Staphylococcus aureus; D013222:State Medicine; D006113:United Kingdom / Q000453:epidemiology