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根本原因分析法(root cause analysis,RCA)作为一种质量管理模式,其核心是一种基于团体的、系统的、回顾性的不良事件分析方法,找出系统和流程中的风险和缺点并加以改进,通过与同行从错误中反思、学习及分享经验,可以做到改善流程、事前防范,从多角度、多层次提出针对性预防措施,预防同类不良事件的发生,以此改变传统质量管理只解决单一事件,治标不治本的缺点[1]。我院儿科输液室
Root cause analysis (RCA), a quality management model at its core, is a group-based, systematic, retrospective approach to adverse event analysis that identifies and addresses risks and shortcomings in systems and processes Improve, through the reflection with the colleague from the mistakes, the study and the share experience, can do the improvement process, the precautionary measure, puts forward the multi-level and the multi-level prevention measures, prevents the similar kind of adverse events, thus the traditional quality management only Solve the single incident, shortcomings of a temporary solution [1]. Pediatric hospital infusion room