Categoria: Patient Safety

1. Background of the WHO’s approach to the topic of “patient safety” In May 2002, the 55th World Health Assembly encouraged member states to be aware of the problem of patient safety, establishing and strengthening the evidence-based systems necessary for improving

Much has been said on the topic of the most suitable tools for investigating adverse events in healthcare organizations. A study published in the journal of the School of Nursing of Universidade de São Paulo indicated some pointers that will

Full, robust investigation of incidents has several important stages, such as using the WHO conceptual framework, setting up a specialist team, quality tools used in root cause analysis, among others. However, every investigative process results in one, very important stage, which

An observational study Aim of the study To analyze the proportion of sustainability of the Root Cause Analyses (RCA) recommendations based on sentinel events notified in the Australian healthcare system. Results and Discussion The research collected data over five years, from 36 hospitals. The

  Root Cause Analysis (RCA) is a tool that has its origins in Engineering and large industries. The aeronautical and aerospace industries were the first to use it as a strategy to deal with high-risk activities. The term Root Cause Analysis indicates