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By Richard Guthrie | Thursday, Jan 16, 2020
Root Cause Analysis is a common way to review adverse events in health care. If, however, staff are afraid to participate in them or health systems fail to use them to develop plans for preventing future errors, they may do more harm than good.


Tag(s): Patient Safety, Tools, Adverse Event, Psychological Safety
By Lauge Sokol-Hessner | Tuesday, Aug 27, 2019
Health care can harm patients without causing physical injury. As a growing number of health care providers include disrespect as a patient safety issue, one organization is using Root Cause Analyses and Action (RCA2) to better understand the problem.


Tag(s): Patient Safety, Tools, Adverse Event
By Sigall Bell | Thursday, Mar 07, 2019
When patients and families are injured by medical care, they can suffer (physically, emotionally, and financially) for months or sometimes years after the adverse event. Sigall K. Bell, MD, shares what research indicates health care should do to prevent long-term harm.


Tag(s): Patient Safety, Quality Improvement, Adverse Event, Transparency
By Thomas Gallagher | Wednesday, Mar 06, 2019
While the importance of transparency about medical errors is widely accepted as essential for improving health care safety and quality, a gap still exists between typical practice and what's needed.


Tag(s): Patient Safety, Quality Improvement, Adverse Event, Transparency
By Tejal Gandhi | Tuesday, Mar 05, 2019
Outpatient care far exceeds the volume of care provided in hospitals and up to 80 percent of patient harm in these settings is preventable.


Tag(s): Patient Safety, Primary Care, Community, Adverse Event
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