Patient safety remains a cornerstone of effective healthcare delivery, with Root Cause Analysis (RCA) emerging as a vital process for understanding and preventing adverse events. RCA is a systematic ...

UChicago Medicine is one of 12 hospitals in the nation with a 26-year, Leapfrog straight-“A” streak and Stephen Weber, MD, said the secret is to never be satisfied. “Whether I’m seeing patients or ...

Included in the Centers for Disease Control and Prevention’s “Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program” is a form to assist healthcare organizations ...

Haven applies artificial intelligence to modernize incident investigations, root cause analysis, and prevention across ...

Too often, when we investigate safety incidents, we focus on the immediate cause and not the “root cause.” They aren’t the same thing. The U.S. Occupational Safety and Health Administration defines a ...

During a recent visit to a skilled nursing facility, a nurse made an insightful comment that stuck with me: “You can’t unscramble eggs.” This simple yet profound statement highlighted the difficulty ...

When there’s a major systems outage or performance issue, IT teams come to the rescue to restore services as quickly as possible. Some IT organizations follow IT service management (ITSM) incident ...

A free guide on conducting root causes analyses is available from the Department of Veterans Affairs National Center for Patient Safety. The tools include guides for developing a chronological event ...

Root Cause Analysis (RCA) is a critical methodology for uncovering the underlying causes of food safety incidents, such as contamination or non-compliance, rather than merely addressing symptoms. By ...