by Robert J. Latino, CEO of Reliability Center Inc. In previous posts (RCA has a Public Relations Problem and Common RCA Shortcuts & Outcomes)I’ve described why providers may take short cuts in doing an RCA and what common shortcuts are. Sure, we can say we’re in “compliance” because we’ve done the RCA, but such efforts are more like […]
by Robert J. Latino, CEO of Reliability Center Inc. In my previous post (RCA has a Public Relations Problem) I described how time pressures on care providers are likely to lead to short cuts or ‘Shallow Cause Analysis” (SCA). Such approaches help explain why RCA efforts fail i.e. they haven’t been done properly in the first place. […]
by Robert J. Latino, CEO of Reliability Center Inc. Whenever an organization seems to adapt ‘RCA’; when the organization does not produce overall results, they attribute it to RCA not working. Seems logical right? Wrong! There over around 6,000 hospitals in the U.S. and 95%+ are accredited via various accrediting agencies. We know this because they […]
Medical Reporter Liz Kowalcyzk & Chief Medical Officer, Allan Frankl Making a Difference for Patient Safety!
Liz Kowalcyzk, a Medical and Healthcare Reporter for the Boston Globe, wrote recently, “Massachusetts acute-care hospitals reported 753 serious medical errors and other patient injuries last year, a 70 percent annual jump that health officials attributed mostly to expanded definitions of what constitutes medical harm” in her recent article ‘Area hospitals’ mistakes list widens’. “Do I think […]