Literature DB >> 12953608

Using aggregate root cause analysis to improve patient safety.

Julia Neily1, Greg Ogrinc, Peter Mills, Rodney Williams, Erik Stalhandske, James Bagian, William B Weeks.   

Abstract

The authors describe use of aggregate root cause analysis, which provides a systematic process for analyzing high-priority, frequent events.

Entities:  

Mesh:

Year:  2003        PMID: 12953608     DOI: 10.1016/s1549-3741(03)29052-3

Source DB:  PubMed          Journal:  Jt Comm J Qual Saf        ISSN: 1549-3741


  8 in total

Review 1.  Can we ensure the safe use of known human teratogens?: The iPLEDGE test case.

Authors:  Margaret A Honein; Jill A Lindstrom; Sandra L Kweder
Journal:  Drug Saf       Date:  2007       Impact factor: 5.606

2.  Contributing factors to severe complications after liver resection: an aggregate root cause analysis in 105 consecutive patients.

Authors:  Kholoud Houssaini; Oumayma Lahnaoui; Amine Souadka; Mohamed-Anass Majbar; Abdelilah Ghanam; Brahim El Ahmadi; Zakaria Belkhadir; Leila Amrani; Raouf Mohsine; Amine Benkabbou
Journal:  Patient Saf Surg       Date:  2020-09-29

3.  Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures.

Authors:  Alan N West; William B Weeks; James P Bagian
Journal:  Health Serv Res       Date:  2008-02       Impact factor: 3.402

4.  Stories from the sharp end: case studies in safety improvement.

Authors:  Douglas McCarthy; David Blumenthal
Journal:  Milbank Q       Date:  2006       Impact factor: 4.911

5.  Early detection of potential errors during patient treatment planning.

Authors:  Danielle Lack; Jian Liang; Lisa Benedetti; Cory Knill; Di Yan
Journal:  J Appl Clin Med Phys       Date:  2018-07-05       Impact factor: 2.102

6.  Review of alternatives to root cause analysis: developing a robust system for incident report analysis.

Authors:  Gregory Hagley; Peter D Mills; Bradley V Watts; Albert W Wu
Journal:  BMJ Open Qual       Date:  2019-08-01

7.  Nurse-Led Call Back Program to Improve Patient Follow-Up With Providers After Discharge From the Emergency Department.

Authors:  Ines Luciani-McGillivray; Julie Cushing; Rebecca Klug; Hang Lee; Jennifer E Cahill
Journal:  J Patient Exp       Date:  2020-09-30

8.  Generic analysis method to learn from serious adverse events in Dutch hospitals: a human factors perspective.

Authors:  Mees Casper Baartmans; Steffie Marijke Van Schoten; Cordula Wagner
Journal:  BMJ Open Qual       Date:  2022-02
  8 in total

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