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Safety analysis over time: seven major changes to adverse event investigation

Abstract:

Every safety-critical industry devotes considerable time and resource to investigating and analysing accidents, incidents and near misses. The systematic analysis of incidents has greatly expanded our understanding of both the causes and prevention of harm. These methods have been widely employed in healthcare over the last 20 years but are now subject to critique and reassessment. In this paper, we reconsider the purpose and value of incident analysis and methods appropriate to the healthcar...

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Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1186/s13012-017-0695-4

Authors


More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
Experimental Psychology
Oxford college:
St Edmund Hall
Role:
Author
ORCID:
0000-0003-0270-0222
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Experimental Psychology
Role:
Author
More from this funder
Name:
Health Foundation
Funding agency for:
Vincent, C
Publisher:
BioMed Central
Journal:
Implementation Science More from this journal
Volume:
12
Issue:
1
Article number:
151
Publication date:
2017-12-28
Acceptance date:
2017-12-05
DOI:
ISSN:
1748-5908
Pmid:
29282080
Language:
English
Keywords:
Pubs id:
pubs:813373
UUID:
uuid:d02bdd0f-f76c-4d6e-a68e-d5196e134ed6
Local pid:
pubs:813373
Source identifiers:
813373
Deposit date:
2018-02-22

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