OBJECTIVE: The objective was to identify how falls on psychiatric units occur, the underlying
root causes and effective action plans to reduce falls and injuries. METHODS: A search of …

This study aimed to operationalise and use the World Health Organisation's International
Classification for Patient Safety (ICPS) to identify incident characteristics and contributing …

The utilization of nudging—behavioral interventions aimed at influencing the actions of
employees or clients—has gained traction in organizations due to its perceived universal …

Article-at-a-Glance Background Empirical evidence is limited that root cause analysis (RCA),
an event analysis tool used in health care to evaluate the systemic factors that lead to …

Background The experience feedback committee (EFC) is a tool designed to involve
medical teams in patient safety management, through root cause analysis (RCA) within the …

Objective The decline in suicide rates has leveled off in many countries during the last
decade, suggesting that new interventions are needed in the work with suicide prevention …

Introduction Historically, the surgical morbidity and mortality conference (SMMC) has been a
core educational venue, a qualityassurance (QA) tool, and a way to socialize a surgical …

Aim This study evaluates the implementation rate and strength of the recommendations
developed in all root cause analyses (RCAs) performed following serious clinical incidents …

Multiple health care stakeholders are increasingly scrutinizing musculoskeletal care to
optimize quality and cost efficiency. This has led to greater emphasis on quality and process …

Background: The ability to predict imminent risk of suicide is limited, particularly among
mental health clients. Root cause analysis (RCA) can be used by health services to identify …