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Year : 2019  |  Volume : 32  |  Issue : 4  |  Page : 1173-1176

The role of root cause analysis in the prevention of venous thromboembolism in intensive care patients

1 Department of Anesthesia and ICU, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Anesthesia and ICU, Critical Care at Sharq El-Madina Specialized Center Hospital, Sidi Beshr Bahary, Alexandria, Egypt

Correspondence Address:
Mohamed H Younis
Sidi Bishr, Elmontaza District, Alexandria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_356_18

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Objective To review the role of root cause analysis (RCA) in the prevention of venous thromboembolism (VTE) in intensive care patients. Data sources A systematic search of MEDLINE (PubMed, Medscape, Science Direct, and EMF-Portal) and internet was conducted on all articles published from 2003 to 2017. Study selection English-language reports of the indications of revision sinus surge were included. Data extraction Articles not reporting on the role of RCA in the prevention of VTE in intensive care patients were not included. Three independent investigators extracted data on methods, health outcome, and prevention protocols. Data synthesis Comparisons were made by structured review, with the results tabulated. Four authors studied the role of RCA in the prevention of VTE. There were 11 studies on VTE risk assessment protocols and eight studies emphasized different methods of VTE prophylaxis. Findings Analysis of the avoidable events showed that lack of the VTE risk assessment in the first place was the main factor for their occurrence. Conclusion Organizations are required to investigate all inpatient venous thromboembolic events using RCA methodology, where specific questions can be asked in relation to VTE risk assessment and prophylaxis; this eventually allows them to learn from VTE incidents and improve patient safety.

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