CAJ | 학술논문

根本原因分析法(Root CauseAnalysis，RCA)是一种回溯性失误分析方法，被国际医疗界认为是提升病人安全的重要方法之一。本文阐述了RCA的基本原理和执行步骤，并以案例应用形式进行辅助说明，提出RCA能改变传统管理方式中只针对单一事件治标不治本的管理漏洞，可以协助医院找出工作流程中及系统设计上存在的缺点和风险，并采取正确的措施加以完善，从而提高医护人员的安全责任意识，在医院内营造一种良好的安全文化。
근본원인분석법(Root CauseAnalysis，RCA)시일충회소성실오분석방법，피국제의료계인위시제승병인안전적중요방법지일。본문천술료RCA적기본원리화집행보취，병이안례응용형식진행보조설명，제출RCA능개변전통관리방식중지침대단일사건치표불치본적관리루동，가이협조의원조출공작류정중급계통설계상존재적결점화풍험，병채취정학적조시가이완선，종이제고의호인원적안전책임의식，재의원내영조일충량호적안전문화。
Root cause analysis is a retrospective mistake analysis method which is an important method on promoting patient safety accepted by internal community. The basic principles, processes and cases of applying root cause analysis are discussed. It shows that root cause analysis can help hospital finding mistake and hidden risk in business process and organization structure and carrying out countermeasures to improve medical staffs’ safety awareness and build safety culture.