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NTIS 바로가기Quality improvement in health care : QIH = 한국의료질향상학회지, v.29 no.1, 2023년, pp.70 - 84
최은영 (중앙대학교 간호학과) , 곽미정 (고려대학교 안암병원 적정진료관리팀) , 황정해 (한양사이버대학교 보건행정학과) , 이승은 (연세대학교 간호대학) , 이원 (중앙대학교 간호학과) , 옥민수 (울산대학교 의과대학 예방의학교실)
We introduced guidelines, cases, and educational materials that helped perform Root Cause Analysis (RCA), while suggesting the limitations of RCA and ways to overcome them to make it more active in the Republic of Korea. By arranging the existing major domestic and foreign literature on RCA, helpful...
Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Lee SI, translator. Seoul, Korea: E*PUBLIC; 2010.
Wu AW, Lipshutz AK, Pronovost PJ. Effectiveness?and efficiency of root cause analysis in medicine.?The Journal of the American Medical Association.?2008;299(6):685-7.
Joint Commission Resources. Root cause analysis?in health care: tools and techniques. 5th ed. Illinois, USA: Joint Commission Resources; 2015.
Lee HJ, Choi EY, Ock M, Lee SI. Guidelines for?performing root cause analysis. Quality Improvement in Health Care. 2017;23(1):25-38.
Choi EY. Experiences of patient safety managers?in root cause analysis in Korea [master's thesis].?Ulsan, Korea: University of Ulsan; 2017.
Lim HS, Kim HS, Yum HK. Root cause analysis and improving strategy of suicidal sentinel?events. Quality Improvement in Health Care.?2013;19(2):50.
Song MH, Chun JH, Go H, Kim GJ. Root cause?analysis: a medication error. Quality Improvement?in Health Care. 2012;18(1):79-87.
Choi EY, Lee HJ, Ock M, Jo MW, Lee SI. Comparison of root cause analysis software for investigating patient safety incidents. Quality Improvement?in Health Care. 2017;23(1):11-23.
Choi EY, Lee HJ, Ock M, Lee SI. Development of?Korean root causes analysis software for analyzing?patient safety incidents. Quality Improvement in?Health Care. 2018;24(1):9-22.
Korea Institute for Healthcare Accreditation. Accreditation standards and guidelines for Acute?Care Hospital (4th cycle) [Internet]. Seoul, Korea:?Korea Institute for Healthcare Accreditation; 2021?[cited on 2022 Dec 27]. Available from: https://koiha.or.kr/web/kr/library/establish_view.do.
Chung YY, Baek HJ. A report on the establishment and operation of the patient safety incidents?management system. Seoul, Korea: Institute for?Healthcare Accreditation; 2014. [cited on 2023?May 08]. Available from: https://www.koiha.or.kr/web/kr/library/rschReport_view.do.
Choi EY, Ock M, Lee SI. Experiences of patient safety managers who conducted root?cause analyses. Korean Public Health Research.?2020;46(3):1-13.
Peerally MF, Carr S, Waring J, Dixon-Woods M.?The problem with root cause analysis. BMJ Quality?and Safety. 2017;26(5):417-22.
Iedema RAM, Jorm C, Long D, Braithwaite J,?Travaglia J, Westbrook M. Turning the medical?gaze in upon itself: root cause analysis and the?investigation of clinical error. Social Science and?Medicine. 2006;62(7):1605-15.
Percarpio KB, Watts BV, Weeks WB. The effectiveness of root cause analysis: what does the literarure tell us? Joint Commission Journal on Quality?and Patient Safety. 2008;34(7):391-8.
Middleton S, Walker C, Chester R. Implementing?root cause analysis in an area health service: views?of the participants. Australian Health Review.?2005;29(4):422-8.
Abdi Z, Ravaghi H. Implementing root cause?analysis in Iranian hospitals: challenges and benefits. International Journal of Health Planning and Management. 2017;32(2):147-62.
Nicolini D, Waring J, Mengis J. The challenges of?undertaking root cause analysis in health care: a?qualitative study. Journal of Health Services Research and Policy. 2011;16(1_suppl):34-41.
Veterans Administration National Center for?Patient Safety. Root cause analysis tools. Root?cause analysis (RCA) step-by-step guide [Internet].?Washington DC, USA; Veterans Administration?National Center for Patient Safety; 2016 [cited 2022 Dec 27]. Available from: https://www.patientsafety.va.gov/docs/RCA_Step_By_Step_Guide_REV7_1_16_FINAL.pdf.
Yoon YS, Lee W, Kang S, Kim IS, Jang SG. Working Experience of Managers Who Are Responsible for Promoting and Monitoring Patient Safety?in South Korea: Focusing on Small-and Medium-Sized Hospitals. Journal of Patient Safety.?2022;18(4):365-9.
Iedema RAM, Jorm C, Braithwaite J, Travaglia?J, Lum M. A root cause analysis of clinical error:?confronting the disjunction between formal rules?and situated clinical activity. Social Science and?Medicine. 2006;63(5):1201-12.
Taitz J, Genn K, Brooks V, Ross D, Ryan K, Shumack B, et al. System-wide learning from root?cause analysis: a report from the New South Wales?Root Cause Analysis Review Committee. Quality?and Safety in Health Care. 2010;19(6):e63.
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