Root Cause Analysis For Evaluating The Patient Falling With Fishbone Method

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Root Cause Analysis For Evaluating The Patient Falling With Fishbone Method [Journal of Health and Nursing Management]

Journal of Health and Nursing Management. 2019; 6(3): 266-272 | DOI: 10.5222/SHYD.2019.82905

Root Cause Analysis For Evaluating The Patient Falling With Fishbone Method

Canan Erayd�n¹, Bilge Tezcan², Zibel Ko�³
¹B�lent Ecevit �niversity Faculty of Health Sciences,Principles of nursing,Zonguldak/Turkey
²Edirne Sultan 1. Murat Hospital,M.D. Nurse/Edirne
³Hisar �ntercontinental Hospital M.D. Nurse �stanbul/T�rkiye

In all standarts of Quality Management System and in approaches related to the extent and depth of corrective and preventive actions, root cause analysis is necessity of standarts. Health institutions uses root analysis to understand about cases why and how they occured, to deduce from events, to plan and implement processes and to avoid duplication of same or similar cases. Root analysiss� area of investigation is not subjects but cases and causes. The aim is not to find out whose negligence, but to make improvements in the system by observing all all the cases. The number of root cause analysis studies in the literature are little. Root cause analysis will improve problem-solving skills in medical malpractices that may develop or develop in health institutions. The purpose of this study is to guide the nurses by informing about fishbone method in root cause analysis and by giving an example about root cause applications.

Keywords: Root Cause Analysis, Fishbond Method, Falling, Nursing

Hasta D��melerinin De�erlendirilmesinde Bal�k K�l�� Y�ntemi �le K�k Neden Analizi

Canan Erayd�n¹, Bilge Tezcan², Zibel Ko�³
¹B�lent Ecevit �niversitesi Sa�l�k Bilimleri Fak�ltesi Hem�irelik B�l�m� Hem�irelik Esaslar� Anabilim Dal� Zonguldak/T�rkiye
²Edirne Sultan 1. Murat Devlet Hastanesi Edirne/T�rkiye
³Hisar �ntercontinental Hospital �stanbul/T�rkiye

Kalite Y�netim Sistemi standartlar�n�n tamam�nda, d�zeltici ve �nleyici faaliyetlerin kapsam� ve derinli�i ile ilgili yakla��mlarda k�k neden analizi yap�lmas� standartlar�n gerekliliklerindendir. Sa�l�k kurumlar� olay�n neden, nas�l ger�ekle�ti�ini ve e�ilimini anlamak, olaylardan ��kar�m sa�lamak, s�re�leri planlay�p, uygulamak, ayn� veya benzer olay�n tekrarlanmas�n� �nlemek i�in k�k neden analizi yapmaktad�rlar. K�k neden analizinde inceleme konusu ki�iler de�il, olay ve sebeplerdir. Ama� kimin ihmali oldu�unu bulmak de�il, t�m olaylar� g�zden ge�irerek sistemde iyile�tirme yapmakt�r. Literat�rde sa�l�k bak�m sistemi ile ilgili yap�lan k�k neden analizi �al��ma say�s� azd�r. Sa�l�k kurumlar�nda k�k neden analizi geli�en veya geli�ebilecek olan t�bbi hatalarda sorun ��zme becerilerini artt�racakt�r. Bu �al��man�n amac�, k�k nedende bal�k k�l�� y�ntemi hakk�nda bilgi vermek ve hem�irelikte k�k neden uygulamalar�na katk� sa�layacak bir �rnekle peki�tirerek hem�irelere yol g�stermektir.

Anahtar Kelimeler: K�k neden, Bal�k K�l�� y�ntemi, D��me, Hem�irelik

Canan Erayd�n, Bilge Tezcan, Zibel Ko�. Root Cause Analysis For Evaluating The Patient Falling With Fishbone Method. Journal of Health and Nursing Management. 2019; 6(3): 266-272

Corresponding Author: Canan Erayd�n, T�rkiye

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