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As its name would suggest, root cause analysis is the process by which teams of individuals assess and identify the underlying issues and factors 1 that lead to unintended outcomes. In theory, root ca

Incidents in patient safety typically arise amidst several possible contributing factors and, without appropriate problem-solving strategies, can be exceedingly difficult to assess. Using process impr

Sixteen years after an Organisation with a Memory was published, Jonathan Hazan Director at Datix considers how people and processes are at the heart of a Just Culture in healthcare. Reflecting on the

The core purpose of incident reporting is to learn from what happened in order to make improvements to future healthcare processes and systems and protect patients from harm. However, research1,2 show

Considering the ubiquity of modern technology and computers, it seems an archaic notion that information such as patient records, healthcare policies, and guidelines would be stored by means of paper

Try as we might – despite our greatest efforts and accomplishments – humans have yet to create the perfect technology, one which subsists independently of human support and influence. We have develope