Investigation of Medication Safety Incidents Using Root Cause Analysis and Action
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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this research aims at answering the questions about translation problems and strategies applied by translators when translating cultural concepts. in order to address this issue, qualitative and quantitative study were conducted on two groups of subjects at imam reza international university of mashhad. these two groups were assigned as beginner and advanced translation students (10 students). ...
Root Cause Analysis of NIOC\'s 20" Natural Gas Explosion
Transmission and distribution pipelines have a significant role in the oil and gas industries. Pipelines are facing different threat like corrosion, improper design and incorrect operation. Gas vapor released from a pipeline (owned by NIOC) failure spread out and reached to ignition source. Due to gas outdoor spreading, “flash fire” occurred and flame return caused “vapor cloud explosion” of ga...
متن کاملApplication Of Formal Methods To Root Cause Analysis of Digital Incidents
Numerous current regulations and standards mandate incident response for virtually all segments of the private sector. According to most incident response experts there is the need to perform a root cause analysis (or “incident post mortem”) following recovery from such incidents. To date there has not been a structured, formal approach to conducting this type of post incident analysis. This pa...
متن کاملInvestigation of eye splash and needlestick incidents from an HIV-positive donor on an intensive care unit using root cause analysis.
BACKGROUND Two doctors working on a busy intensive care unit sustained injuries whilst removing a chest drain from an HIV-positive patient. One doctor had a needlestick injury into his finger whilst the other sustained an eyesplash when the chest drain was pulled out. METHODS Following Department of Health format 'Doing less harm', a root cause and human factor analysis of the incident was ca...
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ژورنال
عنوان ژورنال: Global Journal on Quality and Safety in Healthcare
سال: 2021
ISSN: 2589-9449,2666-2353
DOI: 10.36401/jqsh-20-x9