Educational Material

Are the Root Cause recommendations effective and sustainable?

An observational study

Aim of the study
To analyze the proportion of sustainability of the Root Cause Analyses (RCA) recommendations based on sentinel events notified in the Australian healthcare system.

Results and Discussion
The research collected data over five years, from 36 hospitals. The specialties most commonly involved were: emergency, psychiatry, surgery, and obstetrics. The recommendations were divided into three
types of assessment: strong, medium, and weak. According to the study, strong recommendations, when implemented, required fewer human actions whereas weaker actions, such as amendments to work and training policies, are considered less effective and sustainable.


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