ROOT CAUSE ANALYSIS OF AN ADVERSE EVENT IN A HOSPITAL IN MASHHAD, 2012: CASE REPORT

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

DAVOODI R.; TAKBIRI A.; SOLTANI FAR A.; RAHMANI S.; HOSEINI T.; SABOURI G.; GHOSHKHANEE H.; DARVISH A.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Hakim Journal Year:2013 | Volume:16 | Issue:2 Page(s): 153-158

Download Full-Text

Persian Verion

View:

1,306

Download:

Cites:

Information Journal Paper

Title

ROOT CAUSE ANALYSIS OF AN ADVERSE EVENT IN A HOSPITAL IN MASHHAD, 2012: CASE REPORT

Author(s)

Keywords

MEDICAL ERRORQ2

ROOT CAUSE ANALYZEQ3

HOSPITALQ2

PATIENTQ2

Abstract

Introduction: MEDICAL ERRORs threaten health and welfare of PATIENTs in health systems. Root cause analysis is an important way to identify errors and causes. This technique is a systematic analysis of cause and effect which tries to determine how PATIENTs’ issues, staff, policies, environments and processes are involved in occurrence of MEDICAL ERRORs. The present study has analyzed root causes of an adverse event (death of a 21 year old PATIENT who was admitted to HOSPITAL with abdominal pain) in Mashhad, 2011.Methods: This was a descriptive study conducted with qualitative approach within six steps. These steps included: defining the event, collecting the data, drawing causal factors, analyzing data and identifying root causes, and implementing recommendation. Root cause analysis was performed using tools such as brain storming and cause and effect diagram from August 2011 until October 2011.Results: Lack of immediate access to professionals and experts in different medical fields, unavailability of up-to-date guidelines, unawareness about CPR rules and insufficient number of ICU beds, inadequate personnel in push time, and lack of standard equipments for identifying and preventing risks were identified as causes of this MEDICAL ERROR.Conclusion: Due to the usefulness of root cause analysis in PATIENTs' safety, this technique should be used systematically in health care providing unites for critical events management. Reporting and analyzing MEDICAL ERRORs needs structural and cultural changes.

Cites

References

No record.

Cite

APA: Copy

DAVOODI, R., TAKBIRI, A., SOLTANI FAR, A., RAHMANI, S., HOSEINI, T., SABOURI, G., GHOSHKHANEE, H., & DARVISH, A.. (2013). ROOT CAUSE ANALYSIS OF AN ADVERSE EVENT IN A HOSPITAL IN MASHHAD, 2012: CASE REPORT. HAKIM RESEARCH JOURNAL, 16(2), 153-158. SID. https://sid.ir/paper/29213/en

Vancouver: Copy

DAVOODI R., TAKBIRI A., SOLTANI FAR A., RAHMANI S., HOSEINI T., SABOURI G., GHOSHKHANEE H., DARVISH A.. ROOT CAUSE ANALYSIS OF AN ADVERSE EVENT IN A HOSPITAL IN MASHHAD, 2012: CASE REPORT. HAKIM RESEARCH JOURNAL[Internet]. 2013;16(2):153-158. Available from: https://sid.ir/paper/29213/en

IEEE: Copy

R. DAVOODI, A. TAKBIRI, A. SOLTANI FAR, S. RAHMANI, T. HOSEINI, G. SABOURI, H. GHOSHKHANEE, and A. DARVISH, “ROOT CAUSE ANALYSIS OF AN ADVERSE EVENT IN A HOSPITAL IN MASHHAD, 2012: CASE REPORT,” HAKIM RESEARCH JOURNAL, vol. 16, no. 2, pp. 153–158, 2013, [Online]. Available: https://sid.ir/paper/29213/en

Related Journal Papers