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: | Wong, Lawrence Man Kit |
---|---|
Other Authors: | Leveson, Nancy G. |
Format: | Thesis |
Published: |
Massachusetts Institute of Technology
2022
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Online Access: | https://hdl.handle.net/1721.1/140011 https://orcid.org/0000-0002-9548-249X |
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