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Presentation
Root Cause Analysis: The HFE Practitioner's Journey From Individual Blame to System Fixes
International Symposium on Human Factors and Ergonomics in Health Care (2018)
  • A. Joy Rivera, Children's Hospital of Wisconsin
  • Adjhaporn Klunlertkit, Bumrungrad International Hospital
  • Andrea Cooks, Cincinnati Children's Hospital Medical Center
  • Shanqing Yin, KK Women's & Children's Hospital, Singapore
  • Jessica L. Howe, National Center for Human Factors in Healthcare
  • Kathryn M. Kellogg, National Center for Human Factors in Healthcare
  • Mary Patterson, Children's National Medical Center
  • Ellen S. Deutsch, Pennsylvania Patient Safety Authority and Children's Hospital of Philadelphia
  • Joseph Keebler, Embry-Riddle Aeronautical University
  • Elizabeth Lazzara, Embry-Riddle Aeronautical University
  • Elizabeth Blickensderfer, Embry-Riddle Aeronautical University
Abstract
Panel discussion during the Patient Safety Research and Initiatives Track. Joy Rivera chaired the discussion.
Keywords
  • patient safety,
  • human factors,
  • medical care
Publication Date
March 27, 2018
Location
Boston, MA
Citation Information
A. Joy Rivera, Adjhaporn Klunlertkit, Andrea Cooks, Shanqing Yin, et al.. "Root Cause Analysis: The HFE Practitioner's Journey From Individual Blame to System Fixes" International Symposium on Human Factors and Ergonomics in Health Care (2018)
Available at: http://works.bepress.com/elizabeth_lazzara/107/