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Integrating systemic accident analysis into patient safety incident investigation practices. | AHRQ Patient Safety Network

Integrating systemic accident analysis into patient safety incident investigation practices. | AHRQ Patient Safety Network

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  • Study
  •  
  • Published April 2018

Integrating systemic accident analysis into patient safety incident investigation practices.

    This article contrasts two methods of error investigation—root cause analysis (RCA) versus Systems Theoretic Accident Modelling and Processes (STAMP) analysis—for the same adverse event. According to the authors, STAMP analysis produced more systems solutions compared to RCA, which primarily suggests individual-level remedial actions.










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