Addressing the root cause
نویسندگان
چکیده
منابع مشابه
Root Cause and Error Analysis
Error is an inevitable part of life and cannot be completely eliminated, but it can be minimized. A root cause analysis is a technique for understanding the systematic error causes that is involved beyond a person or people to implement an errors and including field and environmental causes of errors when occur in this situation too. An important factor of an error occurrence is a root cause (c...
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BACKGROUND Since the early 1980s, primary care teaching clinics have repeatedly been reported to be inefficient. This paper describes the results of a 5-year effort to improve the efficiency of our residency teaching clinic. METHODS This 5-year longitudinal tracking study of a clinic monitored monthly patient volume, number of providers scheduled per half day, and patient satisfaction with wa...
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From May 2 to May 7, 2010, the Dagstuhl Seminar 10181 Program Development for Extreme-Scale Computing was held in Schloss Dagstuhl Leibniz Center for Informatics. During the seminar, several participants presented their current research, and ongoing work and open problems were discussed. Abstracts of the presentations given during the seminar as well as abstracts of seminar results and ideas ar...
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M unoz, Lowry, and Smith (2012) reported the use of root cause analysis (RCA) as part of a continuous quality improvement project to reduce hypoglycemic episodes in patients following gynecological surgery. Root cause analysis is an important component of quality improvement, and nurses at all levels should understand the process and the outcomes of a RCA. Root cause analysis was used originall...
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Previously we identified the receding flow, where two fluid streams recede from each other, as an open numerical problem,1 because all well-known numerical fluxes give an anomalous temperature rise, thus called the overheating problem. This phenomenon, although presented in several textbooks,2,3 and many previous publications, has scarcely been satisfactorily addressed and the root cause of the...
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ژورنال
عنوان ژورنال: Canadian Medical Association Journal
سال: 2011
ISSN: 0820-3946,1488-2329
DOI: 10.1503/cmaj.111-2090