ABSTRACT

In the present study, it is aimed to do root cause analysis with finding out the frequency of patients’ falls and also finding out the factors that cause patients taking inpatient treatment. The target population of the study contains the patients’ falls occurring in all clinics at Kayseri City Hospital on 01.01.2019-31.12.2019. As a descriptive research, sampling is not applied to this research, root cause analysis is done by evaluating the falls of patients who have fallen while taking inpatient treatment in the sample years. In the research, the data is gathered by Fall Notification Form. While analysis and explicating is being done PRISMA method is used and also benefited from EINDHOVEN Classification method. For root cause analysis cause trees are done by asking a series of cause questions with the method of five causes and in total 262 root causes are found. For each case 2-4 root causes appear. While %78 of fallen patients are major, 3 patients are evaluated at low risk. In root cause analysis of fallen cause, 15 of 262 faults are classified as hidden faults, 4 of them human faults and 243 of the faults are classified as other faults.