It is important for the health care team to understand and be trained in the use of root cause analysis. Root cause analysis helps to analyze errors to determine the root of the cause for the events (medical errors) that have happened. The quality of information obtained from the medical error reporting system is enhanced when the health care staff is trained on the use of root cause analysis. According to Agency for Healthcare Research and Quality (AHRQ), “Root cause analysis (RCA) takes into account the severity and likelihood of occurrence of the adverse event to ensure that significant problems are addressed and then identifies contributing factors and mitigating actions (AHRQ).” After root cause analysis is executed, better precise corrective action can be implemented in that the types of changes that are initiated move away from the usual employee counseling to the modification of organizational processes and procedures (AHRQ). Being able to link corrective actions to root causes is much more effective. According to Root, communication is an organization function that helps a company stay productive and efficient (Root). Inter-departmental communication is an important form of organizational communication in the workplace (Root). By implementing policies, and routine meetings for all health care staff, it will help to strengthen inter-departmental communication which will maintain an efficient flow of information. Therefore, reducing medical errors due to miscommunication (Root). A decrease in patient mortality, decreased length of stay, reduced costs, and fewer transfers back to the ICU, can be found at St. Charles Hospital where there is an improvement in physician and nurse collaboration. Larrabee, found that positive MD/RN relationships were a contributing factor to
It is important for the health care team to understand and be trained in the use of root cause analysis. Root cause analysis helps to analyze errors to determine the root of the cause for the events (medical errors) that have happened. The quality of information obtained from the medical error reporting system is enhanced when the health care staff is trained on the use of root cause analysis. According to Agency for Healthcare Research and Quality (AHRQ), “Root cause analysis (RCA) takes into account the severity and likelihood of occurrence of the adverse event to ensure that significant problems are addressed and then identifies contributing factors and mitigating actions (AHRQ).” After root cause analysis is executed, better precise corrective action can be implemented in that the types of changes that are initiated move away from the usual employee counseling to the modification of organizational processes and procedures (AHRQ). Being able to link corrective actions to root causes is much more effective. According to Root, communication is an organization function that helps a company stay productive and efficient (Root). Inter-departmental communication is an important form of organizational communication in the workplace (Root). By implementing policies, and routine meetings for all health care staff, it will help to strengthen inter-departmental communication which will maintain an efficient flow of information. Therefore, reducing medical errors due to miscommunication (Root). A decrease in patient mortality, decreased length of stay, reduced costs, and fewer transfers back to the ICU, can be found at St. Charles Hospital where there is an improvement in physician and nurse collaboration. Larrabee, found that positive MD/RN relationships were a contributing factor to