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The purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.
This paper examines the challenges of investigating clinical incidents through the use of Root Cause Analysis.
In 2007, the Australian Commission on Safety and Quality in Healthcare engaged the University of Queensland to learn more about the economic costs of adverse events in Australia.
Four case studies document the progress made in the past five years by health care organisations in the United States that were early leaders in patient safety improvement.
Managers and staff in the South Australian state health system, and Australian patient-safety specialists, were asked for suggestions for improving patient safety.
IHI conducted an in-depth review to identify the primary and secondary drivers of exceptional patient and family inpatient hospital experience.
This paper focuses particularly on clinical adverse events with an impact of permanent psychological and/or physical harm (or death) on one patient or many, often referred to as sentinel events.