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Journal Article > Commentary
Soncrant CM, Warner LJ, Neily J, et al. AORN J. 2018;108:386-397.
Root cause analysis has been widely promoted as a failure analysis tool for use in a variety of settings. This quality improvement project applied the method to patient falls in Veterans Health Administration operating rooms and developed recommendations to guide improvement. Areas of focus included team communication, restraint use, and staff education. An Annual Perspective provides insights regarding how to enhance root cause analysis to help investigate incidents and improve care.
Vecchione A. Drug Topics. July 11, 2005;149:24.
This article summarizes the 2006 Joint Commission on Accreditation of Healthcare Organizations patient safety goals and how hospital pharmacists can contribute to their successful implementation.