RCA quality improvement practices in the administration of promet-hazine serious error / 中国现代医生
China Modern Doctor
; (36): 119-122, 2014.
Article
en Zh
| WPRIM
| ID: wpr-1036896
Biblioteca responsable:
WPRO
ABSTRACT
Objective To offer reference that the hospital governors use RCA quality improvement method. Methods Carries on the case analysis according to the case using RCA methods of reality, such as promethazine special to the wrong medicine drug approaches pathways leading to patient consciousness change, put forward the improvement pro-posal for quality improvement. Results During the period from June 2012 to January 2014 , the hospital did not happen because the drugs special route of administration way wrong phenomenon. Conclusion Application of RCA techniques can help us find the system reasons for the incident, and then analyze the reasons, to take practical action to improve the corresponding. And share the case method, put an end to these events.
Texto completo:
1
Base de datos:
WPRIM
Idioma:
Zh
Revista:
China Modern Doctor
Año:
2014
Tipo del documento:
Article