RCA²: Improving Root Cause Analyses and Actions to Prevent Harm¶
National Patient Safety Foundation. RCA²: Improving Root Cause Analyses and Actions to Prevent Harm.
Cited by¶
1 citation across 1 artifact.
Each citation links to the sentence it supports in the citing article.
Mechanisms¶
- False-Positive Review Board
- The discipline that guards against this is to track misses alongside false alarms so the board doesn't optimise one error into the other, keep membership independent of the issuers under review
This sourceVersion 2. National Patient Safety Foundation (2016). Recommends independent participation in review teams and corrective action focused on system vulnerabilities rather than individual blame.
- The discipline that guards against this is to track misses alongside false alarms so the board doesn't optimise one error into the other, keep membership independent of the issuers under review
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