The results showed that its use raised their confidence in being able to perform RCA and decreased their anxiety in the face of a possible AE. In order to increase the commitment and interest of health professionals in carrying out RCA, some studies have evaluated the usefulness of a mock RCA as prior training to provide medical staff with basic knowledge about patient safety and the methodology of this tool. On the other hand, Morse and Pollack and Sauer and Hepler were the only ones that found sufficient follow-up time, which allowed the determination of whether the recommendations agreed on in the RCA reduced the occurrence of AAEs to some degree.

, difficulties were found in determining whether the improvement actions implemented after the RCA were able to reduce the occurrence of AAEs, as the action plans did not follow a pattern of controlled implantation. None of the studies reviewed assessed the ability of this process to reduce future AAEs. Conclusions: RCA is a useful tool for the identification of the remote and immediate causes of safety incidents, but not for implementing effective measures to prevent their recurrence. Despite the widespread implementation of RCA in the past decades, only 2 studies could to some extent establish an improvement in patient safety due to RCAs. The most common causes involved in the occurrence of AEs were communication problems among professionals, human error and faults in the organisation of the health care process. The most common setting was hospitals (86% n = 18), and the type of incident most analysed was AAEs, in 71% ( n = 15) of the cases 47% ( n = 10) of the studies stated that the main weakness of RCA is its recommendations. Samples included in these studies ranged from 20 to 1,707 analyses of RCAs, AAEs, recommendations, audits or interviews with professionals. Results: Twenty-one articles met the inclusion criteria. The Mixed Methods Appraisal Tool was used to assess the quality of studies. We included articles published in scientific journals describing the practical usefulness in and impact of RCA on the reduction of AAEs and whether professionals consider it feasible. Methods: A systematic search of databases from creation until December 2018 was performed using PubMed, Scopus and EMBASE.

Objectives: The aim of this systematic review was to consolidate studies to determine whether root cause analysis (RCA) is an adequate method to decrease recurrence of avoidable adverse events (AAEs).

General hospital mayor lomax