Literature DB >> 28228469

Root-cause analysis: swatting at mosquitoes versus draining the swamp.

Patricia Trbovich1,2, Kaveh G Shojania1,3,4.   

Abstract

Keywords:  Accreditation; Ambulatory care; Anaesthesia

Mesh：

Year:  2017        PMID： 28228469     DOI： 10.1136/bmjqs-2016-006229

Source DB:  PubMed          Journal:  BMJ Qual Saf        ISSN： 2044-5415            Impact factor:   7.035


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  20 in total

1.  Norepinephrine medication errors: the solution is in the solution, but shape shifting may help.

Authors:  Christopher L Pysyk; Lucie Filteau; Jeremie Gauthier; Alex Kuo
Journal:  Can J Anaesth       Date:  2021-06-22       Impact factor: 5.063

2.  Assessing the need for a chlorhexidine-containing central venous catheter: balancing the risk of anaphylaxis with infection.

Authors:  Christopher L Pysyk; Donald R Miller
Journal:  Can J Anaesth       Date:  2020-02-25       Impact factor: 5.063

3.  Systems-based investigation of patient safety incidents.

Authors:  Sean Weaver; Kevin Stewart; Lesley Kay
Journal:  Future Healthc J       Date:  2021-11

4.  Accidental administration of tranexamic acid into the epidural space: a case report.

Authors:  Christopher L Pysyk; Lucie Filteau
Journal:  Can J Anaesth       Date:  2022-06-25       Impact factor: 6.713

5.  Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitative Analysis.

Authors:  Sarah E Mossburg; Sallie J Weaver; MarieSarah Pillari; Elizabeth Daugherty Biddison
Journal:  J Nurs Care Qual       Date:  2019 Jul/Sep       Impact factor: 1.597

Review 6.  Systems-based models for investigating patient safety incidents.

Authors:  P Sampson; J Back; S Drage
Journal:  BJA Educ       Date:  2021-04-28

7.  Safety analysis over time: seven major changes to adverse event investigation.

Authors:  Charles Vincent; Jane Carthey; Carl Macrae; Rene Amalberti
Journal:  Implement Sci       Date:  2017-12-28       Impact factor: 7.327

Review 8.  Our first review: an evaluation of effectiveness of root cause analysis recommendations in Hong Kong public hospitals.

Authors:  Yick Ting A Kwok; Alastair Py Mah; Katherine Mc Pang
Journal:  BMC Health Serv Res       Date:  2020-06-05       Impact factor: 2.655

9.  Why Clinicians Don't Report Adverse Drug Events: Qualitative Study.

Authors:  Corinne M Hohl; Serena S Small; David Peddie; Katherin Badke; Ellen Balka; Chantelle Bailey
Journal:  JMIR Public Health Surveill       Date:  2018-02-27

10.  It's time to step it up. Why safety investigations in healthcare should look more to safety science.

Authors:  Siri Wiig; Jeffrey Braithwaite; Robyn Clay-Williams
Journal:  Int J Qual Health Care       Date:  2020-06-04       Impact factor: 2.038
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