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Root Cause Analysis-based Risk Management Nursing Protocol For Patients With Gastric Ulcer
Journal of Visualized Experiments : Jove
|August 10, 2026
Summary
Root cause analysis (RCA) improved nursing care for gastric ulcer patients. This structured workflow enhanced recovery and reduced complications compared to routine care, improving patient outcomes.
Area of Science:
- Gastroenterology
- Nursing Quality Improvement
- Patient Risk Management
Background:
- Gastric ulcers are chronic, recurrent digestive disorders impacting quality of life.
- Current nursing care for gastric ulcers faces challenges in risk identification and follow-up.
- Variability in nursing processes can impede effective long-term disease management.
Purpose of the Study:
- To describe a reproducible Root Cause Analysis (RCA)-based nursing workflow for hospitalized gastric ulcer patients.
- To evaluate the effectiveness of an RCA-based nursing model compared to routine care.
- To provide a framework for integrating RCA into chronic disease nursing.
Main Methods:
- Retrospective comparative study of 240 gastric ulcer patients (120 routine care, 120 RCA-based care).
- Implementation of a structured RCA nursing workflow including team formation, risk event analysis, intervention planning, and follow-up.
- Outcome assessment via gastroscopy, hospital records, patient satisfaction surveys, and SF-36 quality of life scores.
Main Results:
- Patients managed with the RCA-based nursing workflow demonstrated significantly better outcomes.
- Improved nursing effectiveness, reduced complications, and lower recurrence rates were observed in the RCA group.
- Higher patient satisfaction and improved quality of life were noted in the RCA-based care group.
Conclusions:
- An RCA-based nursing workflow offers a reproducible and effective approach to managing gastric ulcer patients.
- Integrating RCA into nursing practice can enhance risk management and improve patient outcomes in chronic disease care.
- This protocol supports the application of RCA in diverse chronic disease settings for improved quality of care.
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