Patient Safety —— The PROACT Root Cause Analysis Approach

----- 患者安全

ISBN: 9780367386702 出版年：2008 页码：224 Latino, Robert J CRC Press

I. Recognizing and Supporting the Value of Proaction in Healthcare The Need for Reliability Tools in Healthcare Creating Management Support for a Proactive Environment to Succeed II. Event Prioritization Techniques Failure Classification Basic Failure Mode and Effects Analysis: The Traditional Approach Opportunity Analysis (OA): The Modified Approach III. Understanding Root Cause Analysis Understanding Why Things Go Wrong The PROACT(R) Root Cause Analysis (RCA) Methodology IV. The PROACT (R) Root Cause Analysis (RCA) Methodology Preserving Event Data Ordering the Analysis Team Analyzing the Data: Introducing the Logic Tree Communicate Findings and Recommendations Tracking for Results V. A Software Technology to Support Proaction Automating Proactive Analyses: The Utilization of the PROACT(R) Suite Software Solution (Version 3.6+) VI. From Theory to Practical Application Case Studies Appendix: Paradigm Shift Summary Index