Your institution may have access to this item. Find your institution then sign in to continue.
Title
Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.
Authors
Bagian, James P; King, Beth J; Mills, Peter D; McKnight, Scott D
Abstract
The 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.