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1. pubmed.ncbi.nlm.nih.gov › 32339023Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov › 32339023

   Apr 2, 2020 · A human factors approach to root cause analysis looks at system vulnerabilities, considering the entirety of the environment in which an individual works and taking into account factors such as the physical environment and individual mental characteristics.

   • Author: Shyam Kumar, Roger Kline, Tracy Boylin

   • Publish Year: 2020

2. www.nhselect.nhs.uk › Root-cause-analysis-guideRoot cause analysis guide - NHS Elect

   www.nhselect.nhs.uk › Root-cause-analysis-guide

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   Discover the power of the five whys with our guide to root cause analysis. This practical resource helps you uncover underlying issues, streamline problem-solving, and implement effective solutions.

3. www.magonlinelibrary.com › doi › fullRoot cause analysis in the NHS: time for change? | British ...

   www.magonlinelibrary.com › doi › full

   Apr 8, 2020 · A human factors approach to root cause analysis looks at system vulnerabilities, considering the entirety of the environment in which an individual works and taking into account factors such as the physical environment and individual mental characteristics.

   • Author: Shyam Kumar, Roger Kline, Tracy Boylin

   • Publish Year: 2020

4. www.england.nhs.uk › wp-content › uploadsSerious Incident Framework - NHS England

   www.england.nhs.uk › wp-content › uploads

   system-based method for conducting investigations, commonly known as Root Cause Analysis (RCA), and its potential as a powerful mechanism for driving improvement. This revised Framework has been developed in collaboration with healthcare

   • File Size: 1MB

   • Page Count: 90

5. www.england.nhs.uk › commissioning › wp-contentThe Handbook of Quality and Service Improvement Tools

   www.england.nhs.uk › commissioning › wp-content

   find out more about all of these publications at www.institute.nhs.uk/fundamentals. All of the tools, theories and techniques featured in the handbook and more are available online in our searchable library, available free of charge to the NHS in England at www.institute.nhs.uk/qualitytools.

6. www.sciencegate.app › document › 10Root cause analysis in the NHS: time for change? - ScienceGate

   www.sciencegate.app › document › 10

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   <jats:p> Root cause analyses were intended to search for system vulnerabilities rather than individual errors, using a human factors engineering appro ...

7. People also ask

   What is a human factors approach to root cause analysis?

   • A human factors approach to root cause analysis looks at system vulnerabilities, considering the entirety of the environment in which an individual works and taking into account factors such as the physical environment and individual mental characteristics. Other human factors include group dynamics, task complexity and concurrent tasks.

   Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov/32339023/

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   What is a root cause analysis?

   • Root cause analyses were intended to search for system vulnerabilities rather than individual errors, using a human factors engineering approach. In practice, root cause analyses done in the NHS may generally fail to identify components where there are organisational failures, as there may be an inherent desire to protect institutional reputation.

   Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov/32339023/

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   Is root cause analysis an impediment to patient safety?

   • Other human factors include group dynamics, task complexity and concurrent tasks. It is time that the growing evidence of the potential shortcomings of root cause analysis, especially as frequently applied within the NHS, is heeded. At present, rather than assisting learning it may be an impediment to patient safety.

   Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov/32339023/

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   Can root cause analysis be eliminated?

   • If the flaws in root cause analysis can be eliminated, drawing on the available evidence, cases such as those of Dr Hadiza Bawa-Garba and Mr David Sellu might be avoided. Root cause analyses were intended to search for system vulnerabilities rather than individual errors, using a human factors engineering approach.

   Root cause analysis in the NHS: time for change?

   www.magonlinelibrary.com/doi/full/10.12968/hmed.2019.0352

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   Who should perform a root cause analysis?

   • The authors propose that root cause analyses should be performed by a group of people who are not managing the service. External organisations such as the General Medical Council, Nursing and Midwifery Council, Care Quality Commission and Practitioner Performance Assessment are heavily reliant on this tool when concerns are raised.

   Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov/32339023/

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   What is root cause analysis & 5 Whys?

   • tion on root cause analysis and five whys.BackgroundFive whys was devised by Toyot as they developed their manufacturing methodologies. It forms a critical component of their problem solving training and is pa t of the induction into the Toyot

   The Handbook of Quality and Service Improvement Tools - NHS England

   www.england.nhs.uk/commissioning/wp-content/uploads/sites/44/2017/11/the_handbook_of_quality_and_service_improvement_tools_2010-2.pdf

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8. www.england.nhs.uk › wp-content › uploadsPatient Safety Incident Response Framework 2020 - NHS England

   www.england.nhs.uk › wp-content › uploads

   This framework requires providers of NHS-funded care to develop a patient safety incident response plan (PSIRP), in line with the national PSIRP template. The aim of this is to support a strategic, risk management approach to balancing the activity and range of incident responses with those of safety improvement.