Drawing from human factors and system analysis techniques, this guide describes an approach to identifying contributing factors after an adverse event or near miss. The three phases of the model focus on collecting information, analyzing data, and developing recommendations for improvement.
Please select your preferred way to submit a case. Note that even if you have an account, you can still choose to submit a case as a guest. And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. Learn more information here.