Understanding the root cause analysis process to increase safety event reporting.

Kathleen A Dudley

Commentary

Understanding the root cause analysis process to increase safety event reporting.

July 5, 2023

Dudley KA. AORN J. 2023;117(6):399-402.

View more articles from the same authors.

Root cause analysis (RCA) may not be an ideal process, but it still creates opportunities for learning and improvement after a sentinel event. This article posits why perioperative nurses may not report problems to avoid engagement in RCA activities. Increasing nurse awareness of RCA as a multidisciplinary and systems-focused improvement method is a suggested educational tactic to increase nurse RCA participation.

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