한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제24권1호
  • /
  • Pages.9-22
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  • 2018
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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환자안전사건 분석을 위한 한글 근본원인분석 소프트웨어 개발

Development of Korean Root Cause Analysis Software for Analyzing Patient Safety Incidents

  • 최은영 (울산대학교 의과대학 예방의학교실) ;
  • 이현정 (울산대학교 의과대학 예방의학교실) ;
  • 옥민수 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 이상일 (울산대학교 의과대학 예방의학교실)
  • Choi, Eun-Young (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Lee, Hyeon-Jeong (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Ock, Min-Su (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Sang-Il (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • 투고 : 2017.12.05
  • 심사 : 2018.06.29
  • 발행 : 2018.06.30
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초록

Purpose: The purpose of this study is to develop the Korean root cause analysis (RCA) software that can be used to systematically investigate underlying causes for preventing or reducing recurrence of patient safety incidents. Methods: We reviewed the existing guidelines and literatures on the RCA in order to figure out the RCA process. Also we examined the existing RCA softwares for investigating patient safety incidents to design the contents and interface of the RCA software. Based on the results of reviewing literatures and softwares, we developed a draft version of the Korean RCA software that can be easily used in Korean hospital settings by RCA teams. Results: The Korean RCA software consisted of several modules, which are modules for identifying patient safety incidents, organizing RCA team, collecting and analysing data, determining contributory factors and root causes, developing the action plans, and guiding evaluation. Conclusion: The Korean RCA software included optimized RCA process and structured logic for cause analysis. Thus even beginners in RCA are expected to easily use this software for investigating patient safety incidents. As software has been developed with the public financial support, it will be distributed free of charge. We hope that it will contribute to facilitating patient safety improvement activities in Korea.

키워드

참고문헌

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