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Integrating systemic accident analysis into patient safety incident investigation practices.

November 21, 2018

Canham A, Jun GT, Waterson P, et al. Appl Ergon. 2018;72:1-9.

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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.

PubMed citation

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