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Example of an SE, analyzed using traditional root cause analysis; PRISMA-medical (left) and the GAM (right).

Example of an SE, analyzed using traditional root cause analysis; PRISMA-medical (left) and the GAM (right).

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FIGURE 2. Example of an SE, analyzed using traditional root cause...
FIGURE 3. Distribution of the sociotechnical factors for the SEs for...
Using the Generic Analysis Method to Analyze Sentinel Event Reports Across Hospitals: A Retrospective Cross-Sectional Study
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  • Jan 2023
Objectives: Improving patient safety by investigating sentinel events (SEs) is hampered by the focus on isolated events within hospitals and a narrow scope of traditional root cause analysis methods. We aimed to examine if performing cross-hospital aggregate analysis of SEs applying a novel generic analysis method (GAM) bearing a human factor pers...
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... characteristics varied across themes (Supplemental Appendix 2, http://links.lww.com/JPS/A536). Figure 2 presents an example of how an event was analyzed by the hospital using a traditional root cause analysis method (PRISMA-medical), and shows the results of analysis of the event description in the SE report using the GAM. PRISMA-analysis identified 3 independent root causes, whereas using the GAM to study the same event resulted in a total of 12 identified contributing factors and the evaluation of interactions between factors. ...