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Patient Safety in Surgery

, 10:20

First Online: 21 September 2016Received: 21 June 2016Accepted: 26 August 2016

Abstract

Providing quality patient care is a basic tenant of medical and surgical practice. Multiple orthopaedic programs, including The Patient Safety Committee of the American Academy of Orthopaedic Surgeons AAOS, have been implemented to measure quality of surgical care, as well as reduce the incidence of medical errors. Structured Root Cause Analysis RCA has become a recent area of interest and, if performed thoroughly, has been shown to reduce surgical errors across many subspecialties. There is a paucity of literature on how the process of a RCA can be effectively implemented. The current review was designed to provide a structured approach on how to conduct a formal root cause analysis. Utilization of this methodology may be effective in the prevention of medical errors.

KeywordsResident education Root cause analysis Medical errors Quality improvement Adverse events Patient safety AbbreviationsRCARoot cause analysis

RCCFRoot cause contributing factors

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Author: Ryan Charles - Brandon Hood - Joseph M. Derosier - John W. Gosbee - Ying Li - Michelle S. Caird - J. Sybil Biermann - M

Source: https://link.springer.com/article/10.1186/s13037-016-0107-8



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