Developing, implementing, evaluating electronic apparent cause analysis across a health care system.
Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736. doi:10.1016/j.jcjq.2024.05.009.
Investigating safety events can help healthcare organizations improve systems and processes to prevent future incidents. This article describes the development of an electronic apparent cause analysis (eACA) tool, which combines features from high reliability, human factors engineering, and just culture, to investigate and learn from near-miss safety events or events resulting in minimal harm.