System-wide learning from root cause analysis: a report from the New South Wales Root Cause Analysis Review Committee

J Taitz,K Genn,K Ryan,B Shumack,P Kennedy,D Ross,V Brooks,T Burrell

doi:10.1136/qshc.2008.032144

System-wide learning from root cause analysis: a report from the New South Wales Root Cause Analysis Review Committee

J Taitz, K Genn + Show 6 more

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Journal: BMJ Quality & Safety	Publication Date: Jul 29, 2010
Citations: 53

Affiliation: Mental Health Commission, New South Wales Department of Health

#Root Cause Analysis #New South Wales #Root Cause #Clinical Excellence Commission #System-wide Learning #Set Of Criteria #Review Committee #Capacity Of Service #Previous Work #Human Factors

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BackgroundPreventable errors are common in healthcare. Over the last decade, Root Cause Analysis (RCA) has become a key tool for healthcare services to investigate adverse events and try to prevent...

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System-wide learning from root cause analysis: a report from the New South Wales Root Cause Analysis Review Committee