Improving RCA performance: the Cornerstone Award and the power of positive reinforcement

BackgroundThe Veterans Health Administration has had a comprehensive patient safety program since 1999 that includes conducting root cause analysis (RCA) of adverse medical events. Improving the quality and timeliness of the RCAs at the local level has been a continual challenge.MethodsWe initiated...

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Veröffentlicht in:BMJ quality & safety 2011-11, Vol.20 (11), p.974-982
Hauptverfasser: Bagian, James P, King, Beth J, Mills, Peter D, McKnight, Scott D
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Sprache:eng
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