title: Root-cause analysis and health failure mode and effect analysis: two leading techniques in health care quality assessment.
abstract: In this review article, the authors provide a detailed series of guidelines for effectively performing root-cause analysis (RCA) and health failure mode and effect analysis (HFMEA). RCA is a retrospective approach used to ascertain the "root cause" of a problem that has already occurred, whereas HFMEA is a prospective risk assessment tool whose aim is to recognize risks to patient safety. RCA and HFMEA are used for the prevention of errors or recurring errors to create a safer workplace, maintain high standards in health care quality, and incorporate time-saving and cost-saving modifications to favorably affect the patient care environment. The principles and techniques provided here should allow reviewers to better understand the features of RCA and HFMEA and how to apply these processes appropriately. These principles include how to organize a team, identify root causes, seed out proximate causes, graphically describe the process, conduct a hazard analysis, and develop and implement potential action plans.
authors: Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors: Khalid
authors: K
authors: Shaqdan
authors: Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors: Shima
authors: S
authors: Aran
authors: Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors: Laleh
authors: L
authors: Daftari Besheli
authors: Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: habujudeh@partners.org.
authors: Hani
authors: H
authors: Abujudeh
mesh_terms: D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D061214:Patient Safety / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards*; D060891:Root Cause Analysis / Q000592:standards*; D017751:Safety Management / Q000592:standards*; D014481:United States
keywords: HFMEA; Quality; RCA; errors; health failure mode effect analysis; root-cause analysis