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PSNet: Patient Safety Network
Journal Article
Commentary

Beyond the corrective action hierarchy: a systems approach to organizational change.

Wood LJ, Wiegmann DA. Int J Qual Health Care. 2020;Epub Jun 24.

This article discusses the action hierarchy, which is a tool for generating corrective actions to improve safety and focuses on those recommendations relying less on human factors and more on systems change. The authors propose a multifaceted definition of ‘systems change’ and a rubric for determining the extent to which a corrective action addresses ‘systems change’ (‘systems change hierarchy’).