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Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare.
Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. Int J Qual Health Care. 2021;33(1):mzab046. doi:10.1093/intqhc/mzab046.
High reliability organizations consistently examine and learn from failures. This systematic review identified several effective learning tools that can be adapted and used by multidisciplinary health care teams following a patient safety incident, including debriefing, simulation, crew resource management, and reporting systems. The authors concluded that these tools have a positive impact on learning if used soon after the incident but further research about successful implementation is needed.
