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Study
Putting the "action" in RCA(2): an analysis of intervention strength after adverse events.
June 5, 2024
Zerillo JA, Tardiff SA, Flood D, et al. Jt Comm J Qual Patient Saf. 2024;50(7):492-499.
Patient safety event investigations identify opportunities to prevent future events, also known as corrective actions. This analysis of 67 safety events reported at one academic medical center between 2020 and 2021 explored the relationship between the strength of proposed corrective actions and intervention completion. The research found that the majority of corrective actions were rated as weak (approximately 57%) and identified an inverse relationship between intervention strength and completion rate.
