Email Updates
Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations.
Wrigstad J, Bergström J, Gustafson P. Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations:…. BMJ Open. 2014;4(5). doi:10.1136/bmjopen-2014-005326.
The effectiveness of root cause analysis (RCA) as a safety improvement tool has been called into question, as many institutions lack a formal mechanism for implementing and following up action items specified by RCAs. This Swedish study found that two factors predicted successful implementation of safety strategies after an RCA: management continuity and targeting corrective actions at the unit level (rather than at the organizational level).
