In Brief The most fundamental reason for the failure or inefficiency of a process, in any work setting, is referred to as a root cause. Root cause analysis is the process of learning from consequences wherein healthcare providers take a step back and gain knowledge from near-misses, adverse events, or sentinel events in the operating room and all areas of healthcare. This article discusses root cause analysis and nursing management responsibilities as they relate to wrong-site surgery. Root cause analysis is the process of learning from consequences wherein healthcare providers take a step back and gain knowledge from near misses, adverse events, or sentinel events. This article discusses root cause analysis as it applies to wrong site surgery.
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Dattilo et al. (2006) studied this question.
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