A “simple” fall: How a Root Cause Analysis helps to improve

A fall is not an uncommon event for hospitalized patient. We know now that many of them can be prevented because this is a high risk situation for the safety of the patients.

These pictures show one of the most dramatic consequences: an intracranial bleeding.

You can see a presentation here: http://es.slideshare.net/lorenzo-alonso/a-root-cause-analysis-of-a-fall