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PSNet: Patient Safety Network
Book/Report

Special Section: Event Analysis and Risk Management.

Alemi F ed. Special Section: Event Analysis and Risk Management. Qual Manag Health Care. 2020;29(4):232-278.

Adverse event analysis is core for organizational learning from poor performance. This special section discusses how examination tools such as failure mode and effect analysis and root cause analysis may be amended to optimize how lessons can be drawn from failure to inform improvement.