Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions.
Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Health Care Manage Rev. 2007;32(4):330-40.
Building on established organizational behavioral and learning theories, the authors present a model that allows health care managers to learn from failures such as preventable adverse events.