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Putting the "Action" in RCA 2 : An Analysis of Intervention Strength After Adverse Events.

Jessica A ZerilloSarah A TardiffDorothy FloodLauge Sokol-HessnerAnthony Weiss
Published in: Joint Commission journal on quality and patient safety (2024)
Safety events were often addressed with multiple corrective actions. There was an inverse relationship between intervention strength and completion, the strongest interventions with the lowest rate of completion. By integrating action strength and completion status into corrective action follow-up, health care organizations may more effectively identify and address those barriers to completing the strongest interventions that ultimately achieve high reliability.
Keyphrases
  • randomized controlled trial
  • healthcare
  • physical activity