Root Cause Analysis for Hospital-Acquired Pressure Injury

Research output: Contribution to journalArticle

Abstract

Root cause analysis (RCA) is a systematic process for identifying the causes of an adverse occurrence or combined with an approach for a response designed to prevent recurrences. This method may be used for continuous quality improvement in a facility or health system. Root cause analysis can aid nurses and hospital risk managers to determine how the system can improve to reduce the number and severity of pressure injuries. The process of RCA begins with being certain the wound is a pressure injury using differential diagnoses of similar appearing skin disease and injury, followed by an examination of the processes of care (human roots) for missed actions or inactions that are linked to development of a particular pressure injury. The final step of RCA is a critical examination of the system (including people and processes) to look for modifiable trends or patterns are identified that are used to prevent recurrences.

Original languageEnglish (US)
Pages (from-to)298-304
Number of pages7
JournalJournal of Wound, Ostomy and Continence Nursing
Volume46
Issue number4
DOIs
StatePublished - Jul 1 2019

Fingerprint

Root Cause Analysis
Pressure
Wounds and Injuries
Recurrence
Health Facilities
Quality Improvement
Skin Diseases
Differential Diagnosis
Nurses

Keywords

  • Cause analysis
  • Hospital-acquired pressure injury
  • Pressure injury
  • Pressure ulcer
  • Root cause analysis
  • Wounds and injuries

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing

Cite this

Root Cause Analysis for Hospital-Acquired Pressure Injury. / Black, Joyce M.

In: Journal of Wound, Ostomy and Continence Nursing, Vol. 46, No. 4, 01.07.2019, p. 298-304.

Research output: Contribution to journalArticle

@article{4024f32232bd4b09bedb03aba47dc02f,
title = "Root Cause Analysis for Hospital-Acquired Pressure Injury",
abstract = "Root cause analysis (RCA) is a systematic process for identifying the causes of an adverse occurrence or combined with an approach for a response designed to prevent recurrences. This method may be used for continuous quality improvement in a facility or health system. Root cause analysis can aid nurses and hospital risk managers to determine how the system can improve to reduce the number and severity of pressure injuries. The process of RCA begins with being certain the wound is a pressure injury using differential diagnoses of similar appearing skin disease and injury, followed by an examination of the processes of care (human roots) for missed actions or inactions that are linked to development of a particular pressure injury. The final step of RCA is a critical examination of the system (including people and processes) to look for modifiable trends or patterns are identified that are used to prevent recurrences.",
keywords = "Cause analysis, Hospital-acquired pressure injury, Pressure injury, Pressure ulcer, Root cause analysis, Wounds and injuries",
author = "Black, {Joyce M.}",
year = "2019",
month = "7",
day = "1",
doi = "10.1097/WON.0000000000000546",
language = "English (US)",
volume = "46",
pages = "298--304",
journal = "Journal of Wound, Ostomy and Continence Nursing",
issn = "1071-5754",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Root Cause Analysis for Hospital-Acquired Pressure Injury

AU - Black, Joyce M.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Root cause analysis (RCA) is a systematic process for identifying the causes of an adverse occurrence or combined with an approach for a response designed to prevent recurrences. This method may be used for continuous quality improvement in a facility or health system. Root cause analysis can aid nurses and hospital risk managers to determine how the system can improve to reduce the number and severity of pressure injuries. The process of RCA begins with being certain the wound is a pressure injury using differential diagnoses of similar appearing skin disease and injury, followed by an examination of the processes of care (human roots) for missed actions or inactions that are linked to development of a particular pressure injury. The final step of RCA is a critical examination of the system (including people and processes) to look for modifiable trends or patterns are identified that are used to prevent recurrences.

AB - Root cause analysis (RCA) is a systematic process for identifying the causes of an adverse occurrence or combined with an approach for a response designed to prevent recurrences. This method may be used for continuous quality improvement in a facility or health system. Root cause analysis can aid nurses and hospital risk managers to determine how the system can improve to reduce the number and severity of pressure injuries. The process of RCA begins with being certain the wound is a pressure injury using differential diagnoses of similar appearing skin disease and injury, followed by an examination of the processes of care (human roots) for missed actions or inactions that are linked to development of a particular pressure injury. The final step of RCA is a critical examination of the system (including people and processes) to look for modifiable trends or patterns are identified that are used to prevent recurrences.

KW - Cause analysis

KW - Hospital-acquired pressure injury

KW - Pressure injury

KW - Pressure ulcer

KW - Root cause analysis

KW - Wounds and injuries

UR - http://www.scopus.com/inward/record.url?scp=85069269339&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069269339&partnerID=8YFLogxK

U2 - 10.1097/WON.0000000000000546

DO - 10.1097/WON.0000000000000546

M3 - Article

C2 - 31274857

AN - SCOPUS:85069269339

VL - 46

SP - 298

EP - 304

JO - Journal of Wound, Ostomy and Continence Nursing

JF - Journal of Wound, Ostomy and Continence Nursing

SN - 1071-5754

IS - 4

ER -