From Isolated RCAs to Aggregate Reviews: Safer Falls and HAPI Care
Traditional, Root Cause Analyses (RCAs) often occur in isolation within individual events, leading to fragmented insights and limited impact on broader patient safety risks across an organization. This HQ Best Practice Tool describes a structured, multidisciplinary aggregate multi event review process that brings together falls and hospital acquired pressure injury events from across the organization for collective analysis.
As a result, the hospital can drive continuous quality improvement, reduce the most frequent patient safety risks, and promote hospital-wide adoption of best practices—outcomes that are difficult to achieve with traditional, unit-based RCA processes.
Speakers
Quality Manager RN - Providence Regional Medical Center
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