HSA 4191 Chapter Notes - Chapter 7: Breakcore, Problem Management, Joint Commission
Document Summary
Goal of problem management : to minimize the adverse effect on the business of incidents and problems caused by errors in the infrastructure and to proactively prevent the occurrence of incidents, problems, and errors. Problem is the unknown underlying cause of one or more incidents. A problem becomes an error when the root cause is known and a temporary workaround or a permanent solution has been identified. Problem management is focused on determining the underlying root-cause or incidents. The joint commission : requires root analysis to be conducted to get to the underlying causes of sentinel events that occur in healthcare settings. The national aeronautics and space administration (nasa) : uses root-cause analysis routinely to determine underlying causes of spacecraft system malfunctions. Hit departments use the same root-cause analysis as nasa as a means of providing world-class. Root-cause analysis is composed of the following 4 elements : data collection.
