Implementing CAST and Designing the STAMP-Enhanced Learning And Reporting System
The safety performance of healthcare is concerning. Around 6% of patients are impacted by preventable harm. Adverse events recur because incident reporting systems (IRSs) are not effective and causes are not addressed. In-depth incident analyses, in particular, often focus on frontline human error a...
Main Author: | |
---|---|
Other Authors: | |
Format: | Thesis |
Published: |
Massachusetts Institute of Technology
2022
|
Online Access: | https://hdl.handle.net/1721.1/140011 https://orcid.org/0000-0002-9548-249X |