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Root Cause Analysis of Gaps in Non-communicable Disease Monitoring in a Sub-district Hospital, Tamil Nadu: A Quality Improvement Initiative. [PDF]
CureusR S, R A, P P.
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JAMA, 2021
In the summer of 2020, a patient at a major Veteran Affairs medical center in the western United States experienced an unwitnessed fall in their telemetry patient ward. This incident resulted in the patient receiving a fracture in his/her C5 cervical spine area. This eventually led to his/her death the following day.
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In the summer of 2020, a patient at a major Veteran Affairs medical center in the western United States experienced an unwitnessed fall in their telemetry patient ward. This incident resulted in the patient receiving a fracture in his/her C5 cervical spine area. This eventually led to his/her death the following day.
+6 more sources
Metadata For Root Cause Analysis
ECMS 2021 Proceedings edited by Khalid Al-Begain, Mauro Iacono, Lelio Campanile, Andrzej Bargiela, 2021The paper is devoted to the task of finding the root cause of anomaly in a distributed information and computing system. An approximate approach is considered to detect implicit anomalies with accuracy to the object (of a component of the technical device, a node of a network infrastructure, an application or of an information resource).
Alexander A. Grusho +4 more
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EDFA Technical Articles, 2020
Abstract A root-cause analysis is used to identify the initiating, or root, of a causal chain that leads to an observed undesirable outcome. It is useful in helping managers to focus their problem-solving efforts on providing remedies to issues that actually prevent the undesirable outcome from recurring.
Greg Fisher +2 more
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Abstract A root-cause analysis is used to identify the initiating, or root, of a causal chain that leads to an observed undesirable outcome. It is useful in helping managers to focus their problem-solving efforts on providing remedies to issues that actually prevent the undesirable outcome from recurring.
Greg Fisher +2 more
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2023
Abstract Root cause analysis (RCA) is a tool intended to analyze the roots of a problem in a structured and meticulous manner so that the underlying cause, contributing factors, or system vulnerabilities of an incident are identified and addressed in an effort to prevent future adverse events.
Luis Tueme, Nawal E. Ragheb-Mueller
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Abstract Root cause analysis (RCA) is a tool intended to analyze the roots of a problem in a structured and meticulous manner so that the underlying cause, contributing factors, or system vulnerabilities of an incident are identified and addressed in an effort to prevent future adverse events.
Luis Tueme, Nawal E. Ragheb-Mueller
openaire +1 more source
2015
Root cause analysis (RCA) is a retrospective method of analyzing sentinel events and errors aimed at identification of the “root cause” of the problem. The RCA process should be initiated upon identification of a sentinel event, and typically includes the formation of a team of key stakeholders, investigation of the situation and collection of data on ...
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Root cause analysis (RCA) is a retrospective method of analyzing sentinel events and errors aimed at identification of the “root cause” of the problem. The RCA process should be initiated upon identification of a sentinel event, and typically includes the formation of a team of key stakeholders, investigation of the situation and collection of data on ...
openaire +2 more sources