Contributions of Root Cause Analysis (RCA) in the management of adverse events in Emergencies - a literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40653

Keywords:

Root Cause Analyses; Emergency; Lean Healthcare.

Abstract

This paper seeks to identify publications in the literature that indicate the use of RCA as a methodology for event management in the Emergency Department and its contributions to the care team through a Systematic Literature Review. Data collection was done through a virtual search of articles and studies indexed in the Virtual Health Library (VHL), Cochrane, Elsevier and Brazilian Digital Library of Theses and Dissertations (BDTD) databases. As a result, 17 studies were found, which were treated through Content Analysis, distributed in three categories, namely: Use of the ACR in the Emergency Department, Recommendations and Limitations of the use of the ACR - a critical analysis and Use of other tools for the Management of Adverse Events in the Emergency Department. It is concluded that, despite not being fully utilised in some ED settings, RCA remains the tool of choice for root cause analysis of adverse events. The present study points to the possibility of associating the DMAIC methodology to the use of the tool with a view to reducing the turnaround time of the analysis, the implementation of improvements and the monitoring of results.

Author Biographies

Flávia Silva de Souza, Universidade Federal Fluminense

Enfermeira, Supervisora de Enfermagem do HUCFF/UFRJ, Lean Six Sigma Black Belt, Doutoranda do Programa de Ciências, Tecnologia e Inclusão - UFF

Robisom Calado, Universidade Federal Fluminense

Professor Doutor em Engenharia Mecânica

Milena Estanislau Diniz Mansur dos Reis, Universidade Federal do Rio de Janeiro

Profa. Dra. Milena Estanislau Diniz Mansur dos Reis
Professora Associada
Instituto Politécnico
Centro Multidisciplinar UFRJ - Macaé

Teresa de Lourdes da Rosa dos Santos, Universidade Federal Fluminense

Enfermeira Diretora de Enfermagem do Hospital municipal Salgado Filho RJ

Salua Ilza de Andrade , Beneficência Portuguesa de São Paulo

Enfermeira Especialista em Excelência Operacional em Saúde Lean Six Sigma

Kelly Cristina Freire Doria , Núcleo de Qualidade do Centro Estadual de Diagnóstico por Imagem

Enfermeira Coordenadora de Qualidade Centro Estadual de Diagnóstico por Imagem -CEDI/RJ

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Published

14/03/2023

How to Cite

SOUZA, F. S. de .; CALADO, R. .; REIS, M. E. D. M. dos .; SANTOS, T. de L. da R. dos .; ANDRADE , S. I. de .; DORIA , K. C. F. . Contributions of Root Cause Analysis (RCA) in the management of adverse events in Emergencies - a literature review. Research, Society and Development, [S. l.], v. 12, n. 3, p. e20112340653, 2023. DOI: 10.33448/rsd-v12i3.40653. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40653. Acesso em: 23 nov. 2024.

Issue

Section

Health Sciences