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Sentinel adverse event - PowerPoint PPT Presentation

Improving clinical risk management systems: Root Cause Analysis

Improving clinical risk management systems: Root Cause Analysis. Investigating adverse events. What often happens when we carry out these investigations: Inconsistent approaches Done by management All issues not explored Focuses on who did it rather than what went wrong

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Sentinel adverse event - PowerPoint PPT Presentation

Improving clinical risk management systems: Root Cause Analysis