Root cause analysis in clinical adverse events.
Patient safety has been on the national agenda for several years and policies on how hospitals report and analyse adverse events have become elaborate. This article examines how clinical adverse events are addressed through root cause analysis (RCA) in daily practice in two acute NHS trusts. It also discusses some of the benefits for nurses of engaging with RCA, as well as the challenges faced by nurses involved in the process and how such challenges can be addressed.
Mengis
Jeanne
J
Innovation, Knowledge and Organisational Networks Research Unit, Warwick Business School, University of Warwick, Coventry.
Nicolini
Davide
D
D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D009729:Nursing; D018802:Patient-Centered Care; D012308:Risk Management / Q000379:methods*; D013647:Task Performance and Analysis; D006113:United Kingdom