Vincent C, Taylor-Adams S, Chapman EJ, Hewett D, Prior S, Strange P, Tizzard A. How to investigate and analyse clinical incidents: Clinical risk unit and association of litigation and risk management protocol. British Medical Journal. 2000 Mar 18;320(7237):777-781.
Developed by the Clinical Risk Unit and the Association of Litigation and Risk Management in the UK, this approach adapted research methods to produce a protocol for the investigation and analysis of serious incidents for use by risk managers and others trained in incident analysis. The authors point out that analyses of clinical incidents should focus less on individuals and more on organizational factors, and that organizational analyses lead directly to strategies for enhancing patient safety.
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