Reviewing recommendations of root cause analyses

2007 ◽  
Vol 31 (2) ◽  
pp. 288 ◽  
Author(s):  
Sandy Middleton ◽  
Barbara Chapman ◽  
Rhonda Griffiths ◽  
Rosemary Chester
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Response Rate ◽  
Service Level ◽  
Root Cause ◽  
Clinical Level ◽  
Area Health Service ◽  
Causal Statement ◽  
Survey Results ◽  
Area Health

Objective: To determine the opinion of medical and nursing clinicians of recommendations arising from root cause analyses (RCAs) conducted between 1 April 2003 and 30 September 2004 in one Sydney Area Health Service. Methods: Twelve doctors (response rate 86%) and 17 nurses (response rate 100%) reviewed 328 recommendations arising from 59 RCAs and completed a self-administered survey. Results: Nurses were significantly more likely than doctors to rate recommendations made by the original RCA team as ?relevant to the causal statement?, ?understandable?, ?measurable? and ?achievable?. Doctors and nurses involved in the original RCA were significantly more likely to state that recommendations would ?eliminate? or ?control? the risk of a similar event occurring in the future. Conclusions: This is one of the first studies to analyse RCA data at the area health service level. That nurses reviewed recommendations more favourably may have implications for successful adoption of recommendations at the clinical level. We recommend further detailed analyses of recommendations arising from RCAs in order to determine their usefulness to inform strategies for improved patient safety.

Clinical errors: Implementing root cause analysis in an area health service

2018 ◽  
Vol 13 (sup1) ◽  
pp. 256-267 ◽  
Author(s):  
Sheida Vahidi ◽  
Seyed Hadi Mirhashemi ◽  
Marzieh Noorbakhsh ◽  
Yasamin Molavi Taleghani
Keyword(s):  
Health Service ◽  
Root Cause Analysis ◽  
Cause Analysis ◽  
Root Cause ◽  
Area Health Service ◽  
Area Health

scholarly journals Implementing root cause analysis in an area health service: views of the participants

2005 ◽  
Vol 29 (4) ◽  
pp. 422 ◽  
Author(s):  
Sandy Middleton ◽  
Carol Walker ◽  
Rosemary Chester
Keyword(s):  
Health Service ◽  
New South ◽  
New South Wales ◽  
Root Cause Analysis ◽  
Team Leader ◽  
Cause Analysis ◽  
Root Cause ◽  
Area Health Service ◽  
South Wales ◽  
Area Health

Purpose: This study identifies the attitudes of participants in the root cause analysis (RCA) process and barriers to it?s implementation within one New South Wales area health service. Method: Employees and consumer representatives of the former South Western Sydney Area Health Service who participated in an RCA as either a team member or a team leader between December 2002 and October 2003 completed a self-administered survey. Results: Thirty seven of 39 eligible participants completed the survey (response rate 95%). The respondents identified formulation of causal statements, ensuring the causal statements met the ?rules of causality? outlined by New South Wales Health, and arranging times for interviews as most difficult. Team leader respondents (n = 7) ranked keeping the team focused, organising the first meeting within 7 days of the incident, and completing the RCA in three 2-hour meetings as barriers to the process. Conclusions: Training was valued by participants, however greater emphasis on the development of causal statements could be beneficial. Team leaders expressed difficulty in keeping the team focused and meeting the stipulated RCA timeframes, suggesting that additional support for RCA participants may be warranted.

Surgical management of breast cancer: Experience of the Central Sydney Area Health Service Breast X‐ray Programme, 1988‐1991

1994 ◽  
Vol 160 (10) ◽  
pp. 617-620 ◽  
Author(s):  
Richard I Harrison ◽  
David C Glenn ◽  
Frederick W Niesche ◽  
William G Patrick ◽  
George Ramsey‐Stewart ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Service ◽  
Surgical Management ◽  
X Ray ◽  
Area Health Service ◽  
Cancer Experience ◽  
Area Health

scholarly journals Reduction in staff smoking rates in North Coast Area Health Service, NSW, following the introduction of a smoke-free workplace policy

2010 ◽  
Vol 21 (12) ◽  
pp. 263 ◽  
Author(s):  
Gavin S. Dart ◽  
Eric K. van Beurden ◽  
Avigdor Zask ◽  
Chalta Lord ◽  
Annie M. Kia ◽  
...  
Keyword(s):  
Health Service ◽  
North Coast ◽  
Area Health Service ◽  
Area Health

scholarly journals Does the NAIP classification predict length of stay in rehabilitation,geriatrics and palliative care?

1996 ◽  
Vol 19 (2) ◽  
pp. 56 ◽  
Author(s):  
Lynette Lee ◽  
Carmel Kennedy ◽  
Jane Aitken
Keyword(s):  
Palliative Care ◽  
Quality Management ◽  
Length Of Stay ◽  
Health Service ◽  
Daily Living ◽  
Geriatric Medicine ◽  
Resource Utilisation ◽  
Area Health Service ◽  
Area Health

The Australian National Non-Acute Inpatient Project (NAIP) reported its findingson casemix in rehabilitation and slow stream geriatric medicine in October 1992.It proposed a per diem NAIP classification of 19 classes using six major clinicalgroups and the resource utilisation groups version three activities of daily living index(RUG III ADL index). Weightings were determined based on time spent by clinicalstaff in treating these patients.A quality management study was undertaken in the rehabilitation, geriatrics andpalliative care wards of the Illawarra Area Health Service for three months in 1993,analysing length of stay and cost against the predictive weights of the NAIP classification.The study concluded that this classification was an acceptable predictor of per diem costsof care in these wards of the Illawarra but was not a good predictor of length of stay.

Improving services for prevention and treatment of substance misuse for Aboriginal communities in a Sydney Area Health Service

2008 ◽  
Vol 27 (2) ◽  
pp. 152-159 ◽  
Author(s):  
KATHARINE E. TEASDALE ◽  
KATHERINE M. CONIGRAVE ◽  
KEREN A. KIEL ◽  
BRADLEY FREEBURN ◽  
GEORGE LONG ◽  
...  
Keyword(s):  
Health Service ◽  
Substance Misuse ◽  
Aboriginal Communities ◽  
Area Health Service ◽  
Prevention And Treatment ◽  
Area Health
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