A systemwide strategy to embed equity into patient safety event analysis.
Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004.
Root cause analysis (RCA) investigations are conducted to identify systemic issues that contributed to an adverse event. This study describes the development and implementation of a health equity tool embedded within one hospital’s RCA process. The tool assists in identifying equity-related internal (e.g., race, age), external (e.g., health literacy), and organizational (e.g., access) factors that could have impacted the outcome of the adverse event.