Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Guidelines for Performing Root Cause Analysis

근본원인분석 수행을 위한 지침

  • Lee, Hyeon-Jeong (Department of Preventive Medicine, College of Medicine, University of Ulsan) ;
  • Choi, Eun-Young (Department of Preventive Medicine, College of Medicine, University of Ulsan) ;
  • Ock, Min-Su (Department of Preventive Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan) ;
  • Lee, Sang-Il (Department of Preventive Medicine, College of Medicine, University of Ulsan)
  • 이현정 (울산대학교 의과대학 예방의학교실) ;
  • 최은영 (울산대학교 의과대학 예방의학교실) ;
  • 옥민수 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 이상일 (울산대학교 의과대학 예방의학교실)
  • Received : 2017.06.01
  • Accepted : 2017.06.21
  • Published : 2017.06.30
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Abstract

Root cause analysis (RCA) is systematic process for identifying contributing factors and root causes. It detects system-level vulnerabilities and prevents them from occurring in the future. In many countries, RCA guidelines have been developed and used for these purposes, and various practical tools are suggested according to stages of RCA implementation. In Korea, adverse events occur in 7.2-8.3 percent of inpatients according to studies conducted in hospitals. However, frontline staffs are suffering from lack of knowledge about RCA implementation. This study introduces RCA guidelines that may be used in hospitals to improve the quality of medical care and patient safety.

Keywords

References

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