Articles – Page 4

Image of an infectious organism. A Busy Week on 4 South with CAUTI

Case Study: A Busy Week on 4 South with CAUTI

Introduction Welcome to this TRACE Framework learning exercise. In Part 1, you will review a healthcare-associated infection case involving a patient who developed a catheter-associated…

Image of 2 nurses standing, discussing a case in a low lit room. The Weekend Shift

Case Study: The Weekend Shift with CLABSI

Healthcare-associated infections rarely result from a single event. More often, they emerge when multiple risks accumulate across people, processes, environments, and systems. The TRACE Framework…

Image of puzzle put together with the center missing. The word missing is printed in the center. When the Numbers Are Half the Story

Case Study: When the Numbers are Half the Story

Before reviewing the case below, you will be presented with a structured guide designed to help you work through the TRACE Framework. The purpose of…

Image showing the 4 stages of the TRACE Framework. 1. Event Summary, 2. Timeline Reconstruction, 3. Risks and Contributing Factors, 4. Analysis, Corrective Actions, and Enabling Conditions

Case Study: A Guide to Using the TRACE Framework

PART 1 This case study was developed as a practical walkthrough of the TRACE Framework. The goal of this exercise is to practice structured investigation…

Beyond Root Cause Analysis: Using ActionQI’s TRACE Framework to Strengthen HAI Investigations

Healthcare-associated infection (HAI) investigations often begin with a straightforward question: “What caused the infection?” But in practice, HAIs such as CLABSIs rarely emerge from a…