Shared learning from incidents: A qualitative study into the perceived value of an external chair on incident investigation committees

Volume: 120, Pages: 57 - 66
Published: Dec 1, 2019
Abstract
Despite continued calls to learn from patient safety incidents and a tradition of incident investigations in healthcare, there is discussion about if and how learning from incidents occurs. In this article, we study a policy change in the Netherlands that aims to encourage organisations to learn more from incidents. Dutch healthcare organisations investigate their own incidents. Recently, the Dutch government decided that when an incident leads...
Paper Details
Title
Shared learning from incidents: A qualitative study into the perceived value of an external chair on incident investigation committees
Published Date
Dec 1, 2019
Volume
120
Pages
57 - 66
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