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Understanding why things go wrong

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The investigation and analysis of cases in which clinical incidents have occurred can be used to illustrate the process of clinical decision‐making, the weighing of treatment options and sometimes – particularly when errors are discussed – the personal impact of incidents and mishaps, and critically also includes reflection on the broader healthcare system. Several methods of investigation and analysis are used in healthcare, either retrospectively (for example, root cause analysis or systems analysis of events) or prospectively (for example, failure modes and effects analysis [FMEA]).

Pathy's Principles and Practice of Geriatric Medicine

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