The Veterans Affairs Root Cause Analysis System in Action

Author:

Bagian James P.,Gosbee John,Lee Caryl Z.,Williams Linda,McKnight Scott D.,Mannos Dea M.

Publisher

Elsevier BV

Subject

General Medicine

Reference16 articles.

1. Developing and deploying a patient safety program in a large health care delivery system: You can’t fix what you don’t know about;Bagian;Jt Comm J Qual Improv,2001

2. www.psrs.arc.nasa.gov (last accessed Aug 7, 2002).

3. Using Health Care Failure Mode and Effect Analysis™: The VA National Center for Patient Safety’s prospective risk analysis system;DeRosier;Jt Comm J Qual Improv,2002

4. Incident reporting;Wald,2001

5. Guest commentary: Patient safety: What is the goal and how do we get there?;Bagian;Joint Commission Perspectives on Patient Safety,2002

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