Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration.
AUTHORS
Corwin
GS ,
Mills
PD ,
Shanawani
H ,
Hemphill
RR ,
. Joint Commission journal on quality and patient safety. 2017 11 1; 43(11). 580-590
- PMID: 29056178 [PubMed].
ABSTRACT
ICUs’ provision of complex care for critically ill patients results in an environment with a high potential for adverse events. A study was conducted to characterize adverse events in Veterans Health Administration (VHA) ICUs that underwent root cause analysis (RCA) and to identify the root causes and their recommended actions.
ICUs’ provision of complex care for critically ill patients results in an environment with a high potential for adverse events. A study was conducted to characterize adverse events in Veterans Health Administration (VHA) ICUs that underwent root cause analysis (RCA) and to identify the root causes and their recommended actions.
Tags: Alumni Publications 2017