
<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:title>A new pairing : root cause and success analysis</dc:title>
  <dc:title>Pennsylvania patient safety advisory</dc:title>
  <dc:creator>Deutsch, Ellen S., author.</dc:creator>
  <dc:creator>Patterson, Mary D., author.</dc:creator>
  <dc:creator>Perry, Shawna J., author.</dc:creator>
  <dc:subject>Delivery of Health Care</dc:subject>
  <dc:subject>Medical Errors -- prevention &amp; control</dc:subject>
  <dc:subject>Patient Safety</dc:subject>
  <dc:subject>Quality Improvement</dc:subject>
  <dc:subject>Root Cause Analysis</dc:subject>
  <dc:description>Root cause analysis (RCA) is commonly used in attempts to improve the safety of healthcare delivery, but a variation--success analysis--may also be useful. Traditional RCA is based in Safety-I principles: to improve safety, practitioners focus on serious events with undesired outcomes and attempt to identify what went wrong using investigative techniques. Success analysis, evolving from Safety-II principles, can be used to learn how success was achieved, reinforce correct decisions and actions, and learn how process modifications might contribute to greater improvements.</dc:description>
  <dc:publisher>[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2018</dc:publisher>
  <dc:contributor>Pennsylvania. Patient Safety Authority, issuing body.</dc:contributor>
  <dc:type>Technical Report</dc:type>
  <dc:format>Text</dc:format>
  <dc:format>1 online resource (1 PDF file (4 pages)).</dc:format>
  <dc:identifier>nlm:nlmuid-101735854-pdf</dc:identifier>
  <dc:identifier>101735854</dc:identifier>
  <dc:identifier>http://resource.nlm.nih.gov/101735854</dc:identifier>
  <dc:language>English</dc:language>
  <dc:coverage>Pennsylvania</dc:coverage>
  <dc:coverage>United States</dc:coverage>
  <dc:rights>Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. https://creativecommons.org/licenses/by-nc-nd/3.0</dc:rights>
</oai_dc:dc>
