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Human Factors Informed Root Cause Analysis

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dc.contributor.author Andrea Cassano-Piché, et. al
dc.date.accessioned 2018-09-30T20:34:19Z
dc.date.available 2018-09-30T20:34:19Z
dc.date.issued 2015
dc.identifier.uri http://hdl.handle.net/20.500.12091/390
dc.description.abstract Root Cause Analysis (RCA) is a retrospective incident investigation framework, initially developed as a quality management engineering tool, that is now widely used in many industries to support the improved safety of systems following an accident or incident. In healthcare, regulators such as The Joint Commission have mandated immediate investigation and response following a sentinel event, which is “an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof” [44]. RCA is a means by which this type of investigation and response can be accomplished. en_US
dc.language.iso en_US en_US
dc.publisher HumanEra @ UHN & IFMBE Clinical Engineering Division. en_US
dc.subject HTM en_US
dc.title Human Factors Informed Root Cause Analysis en_US
dc.type Book chapter en_US

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