Newspaper/Magazine Article Fault trees uncover complex causes. Citation Text: Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 18, 2007 Spath P. Hospital peer review. 2007;32(4):49-52. View more articles from the same authors. This article discusses the use of a fault tree diagram to identify root causes of an incident within complex system relationships. PubMed citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Ways to avert potential patient care disasters. October 18, 2006 Manage staff fatigue to improve patient safety. May 24, 2006 Procedures should promote patient safety. August 23, 2006 Maintain accountability in patient safety efforts. October 12, 2005 Don't be fooled by the illusion of patient safety. May 18, 2005 Patient safety in the ambulatory OB/GYN setting. August 29, 2012 Cultural transformation toward patient safety: one conversation at a time. April 16, 2008 Diagnostic errors in pediatric radiology. March 30, 2011 Drug administration errors in hospital inpatients: a systematic review. August 14, 2013 Undiagnosed breast cancer at MR imaging: analysis of causes. October 10, 2012 A clinical data warehouse-based process for refining medication orders alerts. October 17, 2012 Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety." September 16, 2009 Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. August 15, 2018 Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. March 16, 2016 Parent-reported errors and adverse events in hospitalized children. March 16, 2016 Parent–provider miscommunications in hospitalized children. August 23, 2017 Analysis of overridden alerts in a drug–drug interaction detection system. October 22, 2008 Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. May 29, 2019 Unit-based care teams and the frequency and quality of physician–nurse communications. May 11, 2011 HIM functions in healthcare quality and patient safety. August 10, 2011 Patient safety curriculum for surgical residency programs: results of a national consensus conference. April 11, 2007 Management of adverse surgical events: a structured education module for residents. November 2, 2005 Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. June 3, 2020 Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. February 1, 2012 Family safety reporting in hospitalized children with medical complexity. July 20, 2022 Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 View More Related Resources Redesigning Event Review with RCA2. March 12, 2024 - April 23, 2024 Improving Patient Safety with Human Factors Methods. April 17, 2024 - April 18, 2024 Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 Interview In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023 Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022 Eliminating Unintentionally Retained Surgical Items - Special Report. September 21, 2022 Rethinking use of air-safety principles to reduce fatal hospital errors. September 7, 2022 Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. July 20, 2022 Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. June 15, 2022 Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. June 15, 2022 At US hospitals, a drug mix-up is just a few keystrokes away. May 11, 2022 Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. July 7, 2021 To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021 Implementing a human factors approach to RCA(2) : tools, processes and strategies. March 10, 2021 System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. February 10, 2021 Health information technology-related wrong-patient errors: context is critical. January 27, 2021 Nurse burnout predicts self-reported medication administration errors in acute care hospitals. January 20, 2021 Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. July 22, 2020 Root cause analysis for hospital-acquired pressure injury. August 14, 2019 The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019 Pro/con debate: color-coded medication labels. February 20, 2019 Integrating systemic accident analysis into patient safety incident investigation practices. November 21, 2018 The problem with the '5 whys.' September 14, 2016 Human factors in healthcare: welcome progress, but still scratching the surface. June 29, 2016 A new frontier in healthcare risk management: working to reduce avoidable patient suffering. February 24, 2016 Root Cause Analysis Playbook. February 17, 2016 Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. April 22, 2015 View More See More About The Topic Hospitals Risk Managers Quality and Safety Professionals Root Cause Analysis Human Factors Engineering
Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety." September 16, 2009
Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. August 15, 2018
Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. March 16, 2016
Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. May 29, 2019
Patient safety curriculum for surgical residency programs: results of a national consensus conference. April 11, 2007
Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. June 3, 2020
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. February 1, 2012
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023
Interview In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023
Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023
Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022
Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. July 20, 2022
Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. July 7, 2021
To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021
System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. February 10, 2021
Nurse burnout predicts self-reported medication administration errors in acute care hospitals. January 20, 2021
Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. July 22, 2020
The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019
Integrating systemic accident analysis into patient safety incident investigation practices. November 21, 2018
A new frontier in healthcare risk management: working to reduce avoidable patient suffering. February 24, 2016
Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. April 22, 2015