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Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap.

Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011;73(2):217-25. doi:10.1016/j.socscimed.2011.05.010.

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July 20, 2011
Nicolini D, Waring J, Mengis J. Soc Sci Med. 2011;73(2):217-25.

This study explores the tensions between the theory of root cause analysis and its use in practice. While the tool was designed to generate organizational learning, the authors argue that contradictory agendas observed provide an opportunity to reevaluate its application.

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Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011;73(2):217-25. doi:10.1016/j.socscimed.2011.05.010.