Unbundling the Bundles: Using Apparent and Systemic Cause Analysis to Prevent Healthcare- Associated Infections

      BACKGROUND: The Centers for Disease Control and Prevention (CDC) estimates that there are approximately 1.7 million new cases of healthcare-associated infections (HAI) every year, of these cases, approximately 75,000 result in death. These infections are implicated in increased morbidity and mortality, they also have significant financial impact on healthcare facilities through reduced reimbursement, fines, and penalties. Through the development of an apparent cause analysis (ACA) process followed by a systemic cause analysis (SCA) the suspected causes of these infections can be identified and programs placed to prevent future infections.
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