Evidence map›Paper›PMID 27168612›Full record

ArticleAmerican journal of pharmaceutical education2015

Root Cause Analysis Design and Its Application to Pharmacy Education.

Mark T Holdsworth, Rucha Bond, Saumeel Parikh, Bahie Yacop, Kristina M Wittstrom

Abstract read
In one paragraph

Article in American journal of pharmaceutical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mark T HoldsworthUniversity of New Mexico College of Pharmacy, Albuquerque, New Mexico.
Rucha BondUniversity of New Mexico College of Pharmacy, Albuquerque, New Mexico.
Saumeel ParikhUniversity of New Mexico University Hospital, Albuquerque, New Mexico.
Bahie YacopUniversity of New Mexico College of Pharmacy, Albuquerque, New Mexico.
Kristina M WittstromUniversity of New Mexico College of Pharmacy, Albuquerque, New Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. To evaluate third-year pharmacy students' ability to effectively design and apply root cause analysis (RCA) to a sentinel event and to analyze student responses for areas of proficiency and deficiency. Methods. This study involved a comprehensive review of RCA key assessments from 82 students in spring 2014. The performance assessments consisted of a review of each student's RCA worksheet and flow diagram as well as the 1-2 page narrative reflection. Results. The majority of students were able to successfully design an RCA, but had challenges with 3 components: fact-finding session, disclosure plan, and a flow diagram. Several students perceived challenges to conducting a formal RCA in certain health care settings, which included assembling an RCA team and gathering relevant facts, a lack of transparency/safe environment within organizations, and creating a plan for multiple/sequential errors. Conclusion. Most students were able to design an RCA process, but encountered difficulty with some components. Students also identified challenges in applying the approach in certain health care arenas.

Indexed as

Root Cause AnalysisStudents, PharmacyDelivery of Health CareEducational MeasurementEducation, PharmacyHumanspharmacy studentsroot cause analysissentinel events

Identifiers

PMID27168612
PMCPMC4812787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.