An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis System | Zendy

Gregory Hagley | Zendy; Peter D. Mills | Zendy; Brian Shiner | Zendy; Robin R. Hemphill | Zendy

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An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis System

Author(s) -

Gregory Hagley,

Peter D. Mills,

Brian Shiner,

Robin R. Hemphill

Publication year - 2018

Publication title -

physical therapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.998

H-Index - 150

eISSN - 1538-6724

pISSN - 0031-9023

DOI - 10.1093/ptj/pzy003

Subject(s) - root cause analysis , veterans affairs , medicine , harm , rehabilitation , terminology , health care , adverse effect , medical emergency , emergency department , root cause , physical therapy , psychology , nursing , forensic engineering , operations management , social psychology , linguistics , philosophy , economic growth , engineering , economics

Root cause analyses (RCA) are often completed in health care settings to determine causes of adverse events (AEs). RCAs result in action plans designed to mitigate future patient harm. National reviews of RCA reports have assessed the safety of numerous health care settings and suggested opportunities for improvement. However, few studies have assessed the safety of receiving care from physical therapists, occupational therapists, or speech and language pathology pathologists.

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