Tejos R, Navia A, Cuadra A, et al. Aesthetic Plast Surg. 2020;44:1926-1928.
Using a case of mislabeled lab specimens as an example, this article highlights the impact of the COVID-19 pandemic on the delivery of healthcare services and the role of human factors in identifying and preventing medical errors.
Root cause analysis has been widely adopted as a strategy to investigate events, despite questions regarding its effectiveness in health care. This revised pubication provides information about updated approaches to root cause analysis with an emphasis on idenitification of causal and contributing factors. It highlights the use of failure mode and effects analays as a complementary sentinel event examination strategy that enables design of proactive and reactive improvements.
Please select your preferred way to submit a case. Note that even if you have an account, you can still choose to submit a case as a guest. And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. Learn more information here.