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Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.
Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med. 2019;112(9):365-369. doi:10.1177/0141076819848114.
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June 5, 2019
Macrae C. J R Soc Med. 2019;112(9):365-369.
Incident investigations present important opportunities for process examination and redesign. This commentary recommends five strategies to ensure investigations inform patient safety improvement. The author emphasizes a focus on system risks, redesigning systems, examination process transparency, public accountability, and consideration of patient, family, and staff experiences.
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