Journal Article

Integrating systemic accident analysis into patient safety incident investigation practices.

Canham A, Jun GT, Waterson P, et al. Applied ergonomics. 2018;72:1-9.

This article contrasts two methods of error investigation—root cause analysis (RCA) versus Systems Theoretic Accident Modelling and Processes (STAMP) analysis—for the same adverse event. According to the authors, STAMP analysis produced more systems solutions compared to RCA, which primarily suggests individual-level remedial actions.