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Could this be a new paradigm for patient safety that has many applications? Where have you seen ongoing processes in hospitals where people stop to take stock of what they are doing?
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Simms, Slakey, Garstka, Tersigni, and Korndorffer (Surgery, 2012) discuss a preliminary study where simulation is used to increase learning about breakdowns in care. While I have reservations...
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Root cause analysis (RCA) is a common approach to adverse event investigation in hospitals. Small teams of clinicians and managers invest many hours in making sense of serious adverse events in...
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I'm interested in whole workplace events, not single technologies, skills or target environments. Is there evidence of a trend away from fixed context high tech scenarios towards analysis of...
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