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Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews.

Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.

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December 17, 2014
Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
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Drawing from human factors and system analysis techniques, this guide describes an approach to identifying contributing factors after an adverse event or near miss. The three phases of the model focus on collecting information, analyzing data, and developing recommendations for improvement.

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Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.

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