One of the most fundamental aspects of safety in healthcare is to learn from adverse events to improve future healthcare services. Every year a large number of patients across the world are harmed by adverse events due to for example late diagnosis, wrong diagnosis, wrong treatment, technical failure, medication errors and infections. In order to learn from these events, safety investigation is key. Investigating and learning from serious adverse events is a complex process that confronts many challenges. This course is about safety investigations in healthcare and how these can be understood and approached. The aim of the course is to give students the knowledge, skills, and analytical capacity to understand important conditions for achieving high quality safety investigations in healthcare.
Dette er emnebeskrivelsen for studieåret 2024-2025. Merk at det kan komme endringer.
The course content is based on recent research into accident and safety investigations in healthcare, but examples from other industries and sectors will be applied when relevant. The course covers the following main topics:
Accident models and theoretical foundation for safety investigations
Complexity of healthcare systems, technology and people
Methods of safety investigations
Patient and stakeholder involvement in safety investigations
Just culture, safety investigation and organizational learning
Simulation in safety investigations
Learning outcome
Upon completion of this course, the students are expected to have the following knowledge, skills, and general competence:
Knowledge:
Has advanced knowledge about the foundation for different types of safety investigations
Has advanced knowledge about existing accident models and theories explaining causality
Has advanced knowledge about principles, practices and processes of safety investigations
Has advanced knowledge about safety investigation methods in healthcare and other industries
Has advanced knowledge about how different stakeholders’ (e.g. patients, next of kin, healthcare professionals, managers, regulators) perspectives and experiences can be incorporated into safety investigations
Has advanced knowledge about strengths and limitations in safety investigations
Skills:
Can apply accident theories and investigation methods in health care
Can evaluate scientific publications in safety investigation
General competence:
Can critically analyze different theoretical, methodological and practical approaches to safety investigations in healthcare services.
Forkunnskapskrav
Ingen
Exam
Form of assessment
Weight
Duration
Marks
Aid
Exam system
Withdrawal deadline
Exam date
Home exam
1/1
7 Days
Letter grades
All
Inspera assessment
04.11.2024
—
Individual home exam (3000 words +/- 10%)
The exam can be answered in English or Norwegian
Vilkår for å gå opp til eksamen/vurdering
Essay
Submitted and approved essay about a research problem (maximum 500 words). The essay is a basis for the home exam and must be passed before the student can access the home exam.
Lectures, group work, case studies and self-studies. Lectures is based on student-active collaborative learning methods, where both individual and team effort is required.
Åpent for
Students with a Bachelor’s degree in health and social sciences can apply for the course.
Emneevaluering
There must be an early dialogue between the course supervisor, the student union representative and the students. The purpose is feedback from the students for changes and adjustments in the course for the current semester.In addition, a digital subject evaluation must be carried out at least every three years. Its purpose is to gather the students experiences with the course.
Litteratur
Article Framing and reframing critical incidents in hospitals Behr, Lonneke ; Grit, Kor ; Bal, Roland ; Robben, Paul, ABINGDON, Routledge, 81-97, Health, risk & society, 1, 17, 2015-01-02, 81-97, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A48%3A34IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_infor&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Framing%20and%20reframing%20critical%20incidents%20in%20hospitals&rft.jtitle=Health,%20risk%20%26%20society&rft.au=Behr,%20Lonneke&rft.date=2015-01-02&rft.volume=17&rft.issue=1&rft.spage=81&rft.epage=97&rft.pages=81-97&rft.issn=1369-8575&rft.eissn=1469-8331&rft_id=info:doi/10.1080/13698575.2015.1006587&rft.pub=Routledge&rft.place=ABINGDON&rft.stitle=HEALTH%20RISK%20SOC&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Cproquest_infor%3E3608418301%3C/proquest_infor%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1658870032View online Article Involving Patients and Families in the Analysis of Suicides, Suicide Attempts, and Other Sentinel Events in Mental Healthcare: A Qualitative Study in The Netherlands Bouwman, Renee ; de Graaff, Bert ; de Beurs, Derek ; van de Bovenkamp, Hester ; Leistikow, Ian ; Friele, Roland, BASEL, Mdpi, 1104-, International journal of environmental research and public health, 6, 15, 2018-05-29, 1104 https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A48%3A57IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Involving%20Patients%20and%20Families%20in%20the%20Analysis%20of%20Suicides,%20Suicide%20Attempts,%20and%20Other%20Sentinel%20Events%20in%20Mental%20Healthcare:%20A%20Qualitative%20Study%20in%20The%20Netherlands&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Bouwman,%20Renee&rft.date=2018-05-29&rft.volume=15&rft.issue=6&rft.spage=1104&rft.pages=1104-&rft.artnum=1104&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph15061104&rft.pub=Mdpi&rft.place=BASEL&rft.stitle=INT%20J%20ENV%20RES%20PUB%20HE&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29843464&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E2108406289%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2108406289View online Article Involving Patients and Families in the Analysis of Suicides, Suicide Attempts, and Other Sentinel Events in Mental Healthcare: A Qualitative Study in The Netherlands Bouwman, Renee ; de Graaff, Bert ; de Beurs, Derek ; van de Bovenkamp, Hester ; Leistikow, Ian ; Friele, Roland, BASEL, Mdpi, 1104-, International journal of environmental research and public health, 6, 15, 2018-05-29, 1104 https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A48%3A57IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Involving%20Patients%20and%20Families%20in%20the%20Analysis%20of%20Suicides,%20Suicide%20Attempts,%20and%20Other%20Sentinel%20Events%20in%20Mental%20Healthcare:%20A%20Qualitative%20Study%20in%20The%20Netherlands&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Bouwman,%20Renee&rft.date=2018-05-29&rft.volume=15&rft.issue=6&rft.spage=1104&rft.pages=1104-&rft.artnum=1104&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph15061104&rft.pub=Mdpi&rft.place=BASEL&rft.stitle=INT%20J%20ENV%20RES%20PUB%20HE&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29843464&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E2108406289%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2108406289View online Article Integrating systemic accident analysis into patient safety incident investigation practices Canham, Aneurin ; Thomas Jun, Gyuchan ; Waterson, Patrick ; Khalid, Suzanne, OXFORD, Elsevier Ltd, 1-9, Applied ergonomics, 72, 2018-10-01, 1-9, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A49%3A46IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Integrating%20systemic%20accident%20analysis%20into%20patient%20safety%20incident%20investigation%20practices&rft.jtitle=Applied%20ergonomics&rft.au=Canham,%20Aneurin&rft.date=2018-10-01&rft.volume=72&rft.spage=1&rft.epage=9&rft.pages=1-9&rft.issn=0003-6870&rft.eissn=1872-9126&rft_id=info:doi/10.1016/j.apergo.2018.04.012&rft.pub=Elsevier%20Ltd&rft.place=OXFORD&rft.stitle=APPL%20ERGON&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29885719&rft_id=info:eric/&rft_dat=%3Cproquest_pubme%3E2053279156%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2053279156View online Article Institutional resilience in healthcare systems Carthey, J ; de Leval, M R ; Reason, J T, LONDON, BMJ Publishing Group Ltd, 29-32, Quality in Health Care, 1, 10, 2001-03-01, 29-32, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A50%3A11IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Institutional%20resilience%20in%20healthcare%20systems&rft.jtitle=Quality%20in%20Health%20Care&rft.au=Carthey,%20J&rft.date=2001-03-01&rft.volume=10&rft.issue=1&rft.spage=29&rft.epage=32&rft.pages=29-32&rft.issn=0963-8172&rft.eissn=1475-3901&rft_id=info:doi/10.1136/qhc.10.1.29&rft.pub=BMJ%20Publishing%20Group%20Ltd&rft.place=LONDON&rft.stitle=QUAL%20HEALTH%20CARE&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/11239141&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E4011357621%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1778769455View online Article “Going solid”: a model of system dynamics and consequences for patient safety Cook, R ; Rasmussen, J, LONDON, BMJ Publishing Group Ltd, 130-134, Quality & safety in health care, 2, 14, 2005-04, 130-134, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A50%3A29IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=%E2%80%9CGoing%20solid%E2%80%9D:%20a%20model%20of%20system%20dynamics%20and%20consequences%20for%20patient%20safety&rft.jtitle=Quality%20%26%20safety%20in%20health%20care&rft.au=Cook,%20R&rft.date=2005-04&rft.volume=14&rft.issue=2&rft.spage=130&rft.epage=134&rft.pages=130-134&rft.issn=1475-3898&rft.eissn=1475-3901&rft_id=info:doi/10.1136/qshc.2003.009530&rft.pub=BMJ%20Publishing%20Group%20Ltd&rft.place=LONDON&rft.stitle=QUAL%20SAF%20HEALTH%20CARE&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/15805459&rft_id=info:eric/&rft_dat=%3Cproquest_cross%3E67703322%3C/proquest_cross%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1778772490View online Article The psychology of accident investigation: epistemological, preventive, moral and existential meaning-making Dekker, Sidney W.A., Abingdon, Taylor & Francis, 202-213, Theoretical issues in ergonomics science, 3, 16, 2015-05-04, 202-213, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A50%3A49IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20psychology%20of%20accident%20investigation:%20epistemological,%20preventive,%20moral%20and%20existential%20meaning-making&rft.jtitle=Theoretical%20issues%20in%20ergonomics%20science&rft.au=Dekker,%20Sidney%20W.A.&rft.date=2015-05-04&rft.volume=16&rft.issue=3&rft.spage=202&rft.epage=213&rft.pages=202-213&rft.issn=1463-922X&rft.eissn=1464-536X&rft_id=info:doi/10.1080/1463922X.2014.955554&rft.pub=Taylor%20&%20Francis&rft.place=Abingdon&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Cproquest_cross%3E3619107361%3C/proquest_cross%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1661796308View online Article Variation and adaptation: learning from success in patient safety-oriented simulation training Dieckmann, Peter ; Patterson, Mary ; Lahlou, Saadi ; Mesman, Jessica ; Nyström, Patrik ; Krage, Ralf, England, BioMed Central, 21-21, Advances in simulation (London), 1, 2, 2017, 21-21, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A51%3A11IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Variation%20and%20adaptation:%20learning%20from%20success%20in%20patient%20safety-oriented%20simulation%20training&rft.jtitle=Advances%20in%20simulation%20(London)&rft.au=Dieckmann,%20Peter&rft.date=2017&rft.volume=2&rft.issue=1&rft.spage=21&rft.epage=21&rft.pages=21-21&rft.artnum=21&rft.issn=2059-0628&rft.eissn=2059-0628&rft_id=info:doi/10.1186/s41077-017-0054-1&rft.pub=BioMed%20Central&rft.place=England&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29450022&rft_id=info:eric/&rft_dat=%3Cproquest_doaj_%3E2347626578%3C/proquest_doaj_%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2347626578View online Article Structuring Patient And Family Involvement In Medical Error Event Disclosure And Analysis Etchegaray, Jason M. ; Ottosen, Madelene J. ; Burress, Landrus ; Sage, William M. ; Bell, Sigall K. ; Gallagher, Thomas H. ; Thomas, Eric J., BETHESDA, Project Hope, 46-52, Health Affairs, 1, 33, 2014-01-01, 46-52, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A51%3A28IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Structuring%20Patient%20And%20Family%20Involvement%20In%20Medical%20Error%20Event%20Disclosure%20And%20Analysis&rft.jtitle=Health%20Affairs&rft.au=Etchegaray,%20Jason%20M.&rft.date=2014-01-01&rft.volume=33&rft.issue=1&rft.spage=46&rft.epage=52&rft.pages=46-52&rft.issn=0278-2715&rft.eissn=2694-233X&rft_id=info:doi/10.1377/hlthaff.2013.0831&rft.pub=Project%20Hope&rft.place=BETHESDA&rft.stitle=HEALTH%20AFFAIR&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/24395934&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E3185709151%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1490528663View online Article What can we learn from patients’ perspectives on the quality and safety of hospital care? Fitzsimons, Bev ; Cornwell, Jocelyn, LONDON, Bmj Publishing Group, 671-672, BMJ quality & safety, 9, 27, 2018-09, 671-672, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A51%3A52IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=What%20can%20we%20learn%20from%20patients%E2%80%99%20perspectives%20on%20the%20quality%20and%20safety%20of%20hospital%20care?&rft.jtitle=BMJ%20quality%20%26%20safety&rft.au=Fitzsimons,%20Bev&rft.date=2018-09&rft.volume=27&rft.issue=9&rft.spage=671&rft.epage=672&rft.pages=671-672&rft.artnum=27&rft.issn=2044-5415&rft.eissn=2044-5423&rft_id=info:doi/10.1136/bmjqs-2018-008106&rft.pub=Bmj%20Publishing%20Group&rft.place=LONDON&rft.stitle=BMJ%20QUAL%20SAF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29622572&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E2098380544%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2098380544View online Article Four studies, two methods, one accident – An examination of the reliability and validity of Accimap and STAMP for accident analysis Goncalves Filho, Anastacio Pinto ; Jun, Gyuchan Thomas ; Waterson, Patrick, AMSTERDAM, Elsevier Ltd, 310-317, Safety science, 113, 2019-03, 310-317, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A52%3A13IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_elsev&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Four%20studies,%20two%20methods,%20one%20accident%20%E2%80%93%20An%20examination%20of%20the%20reliability%20and%20validity%20of%20Accimap%20and%20STAMP%20for%20accident%20analysis&rft.jtitle=Safety%20science&rft.au=Goncalves%20Filho,%20Anastacio%20Pinto&rft.date=2019-03&rft.volume=113&rft.spage=310&rft.epage=317&rft.pages=310-317&rft.issn=0925-7535&rft.eissn=1879-1042&rft_id=info:doi/10.1016/j.ssci.2018.12.002&rft.pub=Elsevier%20Ltd&rft.place=AMSTERDAM&rft.stitle=SAFETY%20SCI&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Cproquest_elsev%3E2188568182%3C/proquest_elsev%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2188568182View online Article Are root cause analyses recommendations effective and sustainable? An observational study HIBBERT, PETER D. ; THOMAS, MATTHEW J.W. ; DEAKIN, ANITA ; RUNCIMAN, WILLIAM B. ; BRAITHWAITE, JEFFREY ; LOMAX, STEPHANIE ; PRESCOTT, JONATHAN ; GORRIE, GLENDA ; SZCZYGIELSKI, AMY ; SURWALD, TANJA ; FRASER, CATHERINE, OXFORD, Oxford University Press, 124-131, International journal for quality in health care, 2, 30, 2018-03-01, 124-131, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A52%3A36IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-jstor_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Are%20root%20cause%20analyses%20recommendations%20effective%20and%20sustainable?%20An%20observational%20study&rft.jtitle=International%20journal%20for%20quality%20in%20health%20care&rft.au=HIBBERT,%20PETER%20D.&rft.date=2018-03-01&rft.volume=30&rft.issue=2&rft.spage=124&rft.epage=131&rft.pages=124-131&rft.issn=1353-4505&rft.eissn=1464-3677&rft_id=info:doi/10.1093/intqhc/mzx181&rft.pub=Oxford%20University%20Press&rft.place=OXFORD&rft.stitle=INT%20J%20QUAL%20HEALTH%20C&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29346587&rft_id=info:eric/&rft_dat=%3Cjstor_webof%3E48519818%3C/jstor_webof%3E,language=eng,view=UBIS&svc_dat=getit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1989600238View online Article Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? Kellogg, Kathryn M ; Hettinger, Zach ; Shah, Manish ; Wears, Robert L ; Sellers, Craig R ; Squires, Melissa ; Fairbanks, Rollin J, LONDON, Bmj Publishing Group, 381-387, BMJ quality & safety, 5, 26, 2017-05-01, 381-387, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A52%3A55IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Our%20current%20approach%20to%20root%20cause%20analysis:%20is%20it%20contributing%20to%20our%20failure%20to%20improve%20patient%20safety?&rft.jtitle=BMJ%20quality%20%26%20safety&rft.au=Kellogg,%20Kathryn%20M&rft.date=2017-05-01&rft.volume=26&rft.issue=5&rft.spage=381&rft.epage=387&rft.pages=381-387&rft.issn=2044-5415&rft.eissn=2044-5423&rft_id=info:doi/10.1136/bmjqs-2016-005991&rft.pub=Bmj%20Publishing%20Group&rft.place=LONDON&rft.stitle=BMJ%20QUAL%20SAF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/27940638&rft_id=info:eric/&rft_dat=%3Cproquest_pubme%3E4322158639%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1894690477View online Article Patient and family engagement in incident investigations: exploring hospital manager and incident investigators’ experiences and challenges Kok, Josje ; Leistikow, Ian ; Bal, Roland, London, England, Sage Publications, Ltd, 252-261, Journal of health services research & policy, 4, 23, 2018-10-01, 252-261, https://journals.sagepub.com/doi/full/10.1177/1355819618788586?utm_source=summon&utm_medium=discovery-providerView online Article Vive la diversité! High Reliability Organisation (HRO) and Resilience Engineering (RE) Le Coze, Jean Christophe, AMSTERDAM, Elsevier Ltd, 469-478, Safety science, 117, 2019-08-01, 469-478, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A53%3A31IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Vive%20la%20diversit%C3%A9!%20High%20Reliability%20Organisation%20(HRO)%20and%20Resilience%20Engineering%20(RE)&rft.jtitle=Safety%20science&rft.au=Le%20Coze,%20Jean%20Christophe&rft.date=2019-08-01&rft.volume=117&rft.spage=469&rft.epage=478&rft.pages=469-478&rft.issn=0925-7535&rft.eissn=1879-1042&rft_id=info:doi/10.1016/j.ssci.2016.04.006&rft.pub=Elsevier%20Ltd&rft.place=AMSTERDAM&rft.stitle=SAFETY%20SCI&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E2264152738%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2264152738View online Article A Systems Approach to Analyzing and Preventing Hospital Adverse Events Leveson, Nancy ; Samost, Aubrey ; Dekker, Sidney ; Finkelstein, Stan ; Raman, Jai, PHILADELPHIA, Copyright Wolters Kluwer Health, Inc. All rights reserved, 162-167, Journal of patient safety, 2, 16, 2020-06, 162-167, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A53%3A48IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Systems%20Approach%20to%20Analyzing%20and%20Preventing%20Hospital%20Adverse%20Events&rft.jtitle=Journal%20of%20patient%20safety&rft.au=Leveson,%20Nancy&rft.date=2020-06&rft.volume=16&rft.issue=2&rft.spage=162&rft.epage=167&rft.pages=162-167&rft.issn=1549-8417&rft.eissn=1549-8425&rft_id=info:doi/10.1097/PTS.0000000000000263&rft.pub=Copyright%20Wolters%20Kluwer%20Health,%20Inc.%20All%20rights%20reserved&rft.place=PHILADELPHIA&rft.stitle=J%20PATIENT%20SAF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/26756729&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E1826641721%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1826641721View online Article Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare LIBERATI, ELISA G ; PEERALLY, MOHAMMAD FARHAD ; DIXON-WOODS, MARY, England, Oxford University Press, 39-43, International journal for quality in health care, 1, 30, 2018-02-01, 39-43, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A54%3A07IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Learning%20from%20high%20risk%20industries%20may%20not%20be%20straightforward:%20a%20qualitative%20study%20of%20the%20hierarchy%20of%20risk%20controls%20approach%20in%20healthcare&rft.jtitle=International%20journal%20for%20quality%20in%20health%20care&rft.au=LIBERATI,%20ELISA%20G&rft.date=2018-02-01&rft.volume=30&rft.issue=1&rft.spage=39&rft.epage=43&rft.pages=39-43&rft.issn=1353-4505&rft.eissn=1464-3677&rft_id=info:doi/10.1093/intqhc/mzx163&rft.pub=Oxford%20University%20Press&rft.place=England&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29300992&rft_id=info:eric/&rft_dat=%3Cjstor_pubme%3E48519181%3C/jstor_pubme%3E,language=eng,view=UBIS&svc_dat=getit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1989545699View online Article Can we import improvements from industry to healthcare? Macrae, Carl ; Stewart, Kevin, LONDON, Bmj Publishing Group, l1039-l1039, BMJ (Online), 364, 2019-03-21, l1039-l1039, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A54%3A22IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Can%20we%20import%20improvements%20from%20industry%20to%20healthcare?&rft.jtitle=BMJ%20(Online)&rft.au=Macrae,%20Carl&rft.date=2019-03-21&rft.volume=364&rft.spage=l1039&rft.epage=l1039&rft.pages=l1039-l1039&rft.artnum=1039&rft.issn=0959-8138&rft.eissn=1756-1833&rft_id=info:doi/10.1136/bmj.l1039&rft.pub=Bmj%20Publishing%20Group&rft.place=LONDON&rft.stitle=BMJ-BRIT%20MED%20J&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/30898765&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E2196521858%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2195227295View online Article The problem with incident reporting Macrae, Carl, LONDON, Bmj Publishing Group, 71-75, BMJ quality & safety, 2, 25, 2016-02, 71-75, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A54%3A39IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20problem%20with%20incident%20reporting&rft.jtitle=BMJ%20quality%20%26%20safety&rft.au=Macrae,%20Carl&rft.date=2016-02&rft.volume=25&rft.issue=2&rft.spage=71&rft.epage=75&rft.pages=71-75&rft.issn=2044-5415&rft.eissn=2044-5423&rft_id=info:doi/10.1136/bmjqs-2015-004732&rft.pub=Bmj%20Publishing%20Group&rft.place=LONDON&rft.stitle=BMJ%20QUAL%20SAF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/26347519&rft_id=info:eric/&rft_dat=%3Cproquest_pubme%3E4012017991%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1778836865View online Article Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events Macrae, Carl, PHILADELPHIA, Society for Simulation in Healthcare, 227-232, Simulation in healthcare : journal of the Society for Medical Simulation, 4, 13, 2018-08, 227-232, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A55%3A00IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_wolte&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Imitating%20Incidents:%20How%20Simulation%20Can%20Improve%20Safety%20Investigation%20and%20Learning%20From%20Adverse%20Events&rft.jtitle=Simulation%20in%20healthcare%20:%20journal%20of%20the%20Society%20for%20Medical%20Simulation&rft.au=Macrae,%20Carl&rft.date=2018-08&rft.volume=13&rft.issue=4&rft.spage=227&rft.epage=232&rft.pages=227-232&rft.issn=1559-2332&rft.eissn=1559-713X&rft_id=info:doi/10.1097/SIH.0000000000000315&rft.pub=Society%20for%20Simulation%20in%20Healthcare&rft.place=PHILADELPHIA&rft.stitle=SIMUL%20HEALTHC&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29771816&rft_id=info:eric/&rft_dat=%3Cproquest_wolte%3E2041630721%3C/proquest_wolte%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2041630721View online Article Learning from failure: the need for independent safety investigation in healthcare Carl Macrae ; Charles Vincent, SAGE Publications, 439-443, Journal of the Royal Society of Medicine, 11, 107, 2014-10-30, 439-443, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A55%3A56IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-jndl&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Learning%20from%20failure:%20the%20need%20for%20independent%20safety%20investigation%20in%20healthcare&rft.jtitle=Journal%20of%20the%20Royal%20Society%20of%20Medicine&rft.au=Carl%20Macrae&rft.date=2014-10-30&rft.volume=107&rft.issue=11&rft.spage=439&rft.epage=443&rft.pages=439-443&rft.issn=0141-0768&rft_id=info:doi/10.1177/0141076814555939&rft.pub=SAGE%20Publications&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Cjndl%3ER100000136-I1360016869504608768%3C/jndl%3E,language=eng,view=UBIS&svc_dat=getit&user_ip=10.16.56.56&req.skin=primoView online Article The challenges of undertaking root cause analysis in health care: A qualitative study Nicolini, Davide ; Waring1, Justin ; Mengis2, Jeanne, London, England, SAGE Publications, 34-41, Journal of health services research & policy, 1_suppl, 16, 2011-04, 34-41, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A56%3A14IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20challenges%20of%20undertaking%20root%20cause%20analysis%20in%20health%20care:%20A%20qualitative%20study&rft.jtitle=Journal%20of%20health%20services%20research%20%26%20policy&rft.au=Nicolini,%20Davide&rft.date=2011-04&rft.volume=16&rft.issue=1_suppl&rft.spage=34&rft.epage=41&rft.pages=34-41&rft.issn=1355-8196&rft.eissn=1758-1060&rft.coden=JHRPFD&rft_id=info:doi/10.1258/jhsrp.2010.010092&rft.pub=SAGE%20Publications&rft.place=London,%20England&rft.stitle=J%20HEALTH%20SERV%20RES%20PO&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/21460348&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E881451678%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1921218210View online Article Scaffolding our systems? Patients and families ‘reaching in’ as a source of healthcare resilience O’Hara, Jane K ; Aase, Karina ; Waring, Justin, LONDON, Bmj Publishing Group, 3-6, BMJ quality & safety, 1, 28, 2019-01, 3-6, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A57%3A04IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_bmj_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Scaffolding%20our%20systems?%20Patients%20and%20families%20%E2%80%98reaching%20in%E2%80%99%20as%20a%20source%20of%20healthcare%20resilience&rft.jtitle=BMJ%20quality%20%26%20safety&rft.au=O%E2%80%99Hara,%20Jane%20K&rft.date=2019-01&rft.volume=28&rft.issue=1&rft.spage=3&rft.epage=6&rft.pages=3-6&rft.issn=2044-5415&rft.eissn=2044-5423&rft_id=info:doi/10.1136/bmjqs-2018-008216&rft.pub=Bmj%20Publishing%20Group&rft.place=LONDON&rft.stitle=BMJ%20QUAL%20SAF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/29764929&rft_id=info:eric/&rft_dat=%3Cproquest_bmj_p%3E2039905215%3C/proquest_bmj_p%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2164525698View online Article The problem with root cause analysis Peerally, Mohammad Farhad ; Carr, Susan ; Waring, Justin ; Dixon-Woods, Mary, LONDON, Bmj Publishing Group, 417-422, BMJ quality & safety, 5, 26, 2017-05-01, 417-422, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A57%3A45IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20problem%20with%20root%20cause%20analysis&rft.jtitle=BMJ%20quality%20%26%20safety&rft.au=Peerally,%20Mohammad%20Farhad&rft.date=2017-05-01&rft.volume=26&rft.issue=5&rft.spage=417&rft.epage=422&rft.pages=417-422&rft.issn=2044-5415&rft.eissn=2044-5423&rft_id=info:doi/10.1136/bmjqs-2016-005511&rft.pub=Bmj%20Publishing%20Group&rft.place=LONDON&rft.stitle=BMJ%20QUAL%20SAF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/27340202&rft_id=info:eric/&rft_dat=%3Cproquest_webof%3E1826704962%3C/proquest_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1894679920View online Article Human error: models and management Reason, James, LONDON, British Medical Journal Publishing Group, 768-770, BMJ, 7237, 320, 2000-03-18, 768-770, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A58%3A01IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Human%20error:%20models%20and%20management&rft.jtitle=BMJ&rft.au=Reason,%20James&rft.date=2000-03-18&rft.volume=320&rft.issue=7237&rft.spage=768&rft.epage=770&rft.pages=768-770&rft.issn=0959-8138&rft.eissn=1468-5833&rft_id=info:doi/10.1136/bmj.320.7237.768&rft.pub=British%20Medical%20Journal%20Publishing%20Group&rft.place=LONDON&rft.stitle=BMJ-BRIT%20MED%20J&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/10720363&rft_id=info:eric/&rft_dat=%3Cjstor_pubme%3E25187420%3C/jstor_pubme%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1777598181View online Article Systems-based accident analysis methods: A comparison of Accimap, HFACS, and STAMP Salmon, Paul M. ; Cornelissen, Miranda ; Trotter, Margaret J., AMSTERDAM, Elsevier India Pvt Ltd, 1158-1170, Safety science, 4, 50, 2012-04-01, 1158-1170, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A58%3A34IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-elsevier_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Systems-based%20accident%20analysis%20methods:%20A%20comparison%20of%20Accimap,%20HFACS,%20and%20STAMP&rft.jtitle=Safety%20science&rft.au=Salmon,%20Paul%20M.&rft.date=2012-04-01&rft.volume=50&rft.issue=4&rft.spage=1158&rft.epage=1170&rft.pages=1158-1170&rft.issn=0925-7535&rft.eissn=1879-1042&rft_id=info:doi/10.1016/j.ssci.2011.11.009&rft.pub=Elsevier%20India%20Pvt%20Ltd&rft.place=AMSTERDAM&rft.stitle=SAFETY%20SCI&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Celsevier_webof%3ES0925753511002992%3C/elsevier_webof%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primoView online Article Health Care Professionals as Second Victims after Adverse Events: A Systematic Review Seys, Deborah ; Wu, Albert W. ; Gerven, Eva Van ; Vleugels, Arthur ; Euwema, Martin ; Panella, Massimiliano ; Scott, Susan D. ; Conway, James ; Sermeus, Walter ; Vanhaecht, Kris, Los Angeles, CA, SAGE Publications, 135-162, Evaluation & the Health Professions, 2, 36, 2013-06, 135-162, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A59%3A06IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_sage_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Health%20Care%20Professionals%20as%20Second%20Victims%20after%20Adverse%20Events:%20A%20Systematic%20Review&rft.jtitle=Evaluation%20%26%20the%20Health%20Professions&rft.au=Seys,%20Deborah&rft.date=2013-06&rft.volume=36&rft.issue=2&rft.spage=135&rft.epage=162&rft.pages=135-162&rft.issn=0163-2787&rft.eissn=1552-3918&rft.coden=EHPRDK&rft_id=info:doi/10.1177/0163278712458918&rft.pub=SAGE%20Publications&rft.place=Los%20Angeles,%20CA&rft.stitle=EVAL%20HEALTH%20PROF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/22976126&rft_id=info:eric/&rft_dat=%3Cproquest_sage_%3E1364766523%3C/proquest_sage_%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1348653946View online Article Improving Patient Safety in Hospitals: Contributions of High-Reliability Theory and Normal Accident Theory Tamuz, Michal ; Harrison, Michael I., Malden, USA, Blackwell Publishing Inc, 1654-1676, Health services research, 4p2, 41, 2006-08, 1654-1676, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T13%3A59%3A47IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Improving%20Patient%20Safety%20in%20Hospitals:%20Contributions%20of%20High-Reliability%20Theory%20and%20Normal%20Accident%20Theory&rft.jtitle=Health%20services%20research&rft.au=Tamuz,%20Michal&rft.date=2006-08&rft.volume=41&rft.issue=4p2&rft.spage=1654&rft.epage=1676&rft.pages=1654-1676&rft.issn=0017-9124&rft.eissn=1475-6773&rft.coden=HESEA5&rft_id=info:doi/10.1111/j.1475-6773.2006.00570.x&rft.pub=Blackwell%20Publishing%20Inc&rft.place=Malden,%20USA&rft.stitle=HEALTH%20SERV%20RES&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/16898984&rft_id=info:eric/&rft_dat=%3Cgale_proqu%3EA150356620%3C/gale_proqu%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=211723512&rft_galeid=A150356620View online Article Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary Weick, Karl E. ; Sutcliffe, Kathleen M., Los Angeles, CA, University of California Walter A. Haas School of Business, 73-84, California management review, 2, 45, 2003-01-01, 73-84, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T14%3A00%3A17IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hospitals%20as%20Cultures%20of%20Entrapment:%20A%20Re-Analysis%20of%20the%20Bristol%20Royal%20Infirmary&rft.jtitle=California%20management%20review&rft.au=Weick,%20Karl%20E.&rft.date=2003-01-01&rft.volume=45&rft.issue=2&rft.spage=73&rft.epage=84&rft.pages=73-84&rft.issn=0008-1256&rft.eissn=2162-8564&rft.coden=CMNRAK&rft_id=info:doi/10.2307/41166166&rft.pub=University%20of%20California%20Walter%20A.%20Haas%20School%20of%20Business&rft.place=Los%20Angeles,%20CA&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Cjstor_proqu%3E41166166%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=215860795View online Article Introducing national healthcare safety investigation bodies Wiig, S. ; Macrae, C., Chichester, UK, John Wiley & Sons, Ltd, 1710-1712, British journal of surgery, 13, 105, 2018-12, 1710-1712, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T14%3A00%3A40IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Introducing%20national%20healthcare%20safety%20investigation%20bodies&rft.jtitle=British%20journal%20of%20surgery&rft.au=Wiig,%20S.&rft.date=2018-12&rft.volume=105&rft.issue=13&rft.spage=1710&rft.epage=1712&rft.pages=1710-1712&rft.issn=0007-1323&rft.eissn=1365-2168&rft_id=info:doi/10.1002/bjs.11033&rft.pub=John%20Wiley%20&%20Sons,%20Ltd&rft.place=Chichester,%20UK&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/30462362&rft_id=info:eric/&rft_dat=%3Cproquest_cross%3E2136224439%3C/proquest_cross%3E,language=eng,view=UBIS&svc_dat=getit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2136224439View online Article Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation Wiig, Siri ; Macrae, Carl ; Frich, Jan ; Oyri, Sina Furnes, LAUSANNE, Frontiers Media Sa, 1087268-1087268, Frontiers in public health, 11, 2023-02-10, 1087268-1087268, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T14%3A00%3A40IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Naming%20the%20%22baby%22%20or%20the%20%22beast%22?%20The%20importance%20of%20concepts%20and%20labels%20in%20healthcare%20safety%20investigation&rft.jtitle=Frontiers%20in%20public%20health&rft.au=Wiig,%20Siri&rft.date=2023-02-10&rft.volume=11&rft.spage=1087268&rft.epage=1087268&rft.pages=1087268-1087268&rft.issn=2296-2565&rft.eissn=2296-2565&rft_id=info:doi/10.3389/fpubh.2023.1087268&rft.pub=Frontiers%20Media%20Sa&rft.place=LAUSANNE&rft.stitle=FRONT%20PUBLIC%20HEALTH&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/36844858&rft_id=info:eric/&rft_dat=%3Cproquest_doaj_%3E2780485822%3C/proquest_doaj_%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2780485822View online Article One event, three investigations: The reproduction of a safety norm Wrigstad, Jonas ; Bergström, Johan ; Gustafson, Pelle, AMSTERDAM, Elsevier Ltd, 75-83, Safety science, 96, 2017-07-01, 75-83, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T14%3A01%3A25IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=One%20event,%20three%20investigations:%20The%20reproduction%20of%20a%20safety%20norm&rft.jtitle=Safety%20science&rft.au=Wrigstad,%20Jonas&rft.date=2017-07-01&rft.volume=96&rft.spage=75&rft.epage=83&rft.pages=75-83&rft.issn=0925-7535&rft.eissn=1879-1042&rft_id=info:doi/10.1016/j.ssci.2017.03.009&rft.pub=Elsevier%20Ltd&rft.place=AMSTERDAM&rft.stitle=SAFETY%20SCI&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/&rft_id=info:eric/&rft_dat=%3Cproquest_cross%3E1945730645%3C/proquest_cross%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1945730645View online Article Medical error, incident investigation and the second victim: doing better but feeling worse? Wu, Albert W ; Steckelberg, Rachel C, LONDON, BMJ Publishing Group Ltd, 267-270, BMJ quality & safety, 4, 21, 2012-04, 267-270, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T14%3A01%3A45IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Medical%20error,%20incident%20investigation%20and%20the%20second%20victim:%20doing%20better%20but%20feeling%20worse?&rft.jtitle=BMJ%20quality%20%26%20safety&rft.au=Wu,%20Albert%20W&rft.date=2012-04&rft.volume=21&rft.issue=4&rft.spage=267&rft.epage=270&rft.pages=267-270&rft.issn=2044-5415&rft.eissn=2044-5423&rft_id=info:doi/10.1136/bmjqs-2011-000605&rft.pub=BMJ%20Publishing%20Group%20Ltd&rft.place=LONDON&rft.stitle=BMJ%20QUAL%20SAF&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/22213379&rft_id=info:eric/&rft_dat=%3Cproquest_pubme%3E4011710171%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=1778810599View online Article External inspection approaches and involvement of stakeholders' views in inspection following serious incidents - a qualitative mixed methods study from the perspectives of regulatory inspectors Øyri, Sina Furnes ; Wiig, Siri ; Anderson, Janet E ; Bergerød, Inger Johanne, England, BioMed Central Ltd, 300-300, BMC health services research, 1, 24, 2024-03-06, 300-300, https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-05-02T14%3A02%3A45IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=External%20inspection%20approaches%20and%20involvement%20of%20stakeholders%27%20views%20in%20inspection%20following%20serious%20incidents%20-%20a%20qualitative%20mixed%20methods%20study%20from%20the%20perspectives%20of%20regulatory%20inspectors&rft.jtitle=BMC%20health%20services%20research&rft.au=%C3%98yri,%20Sina%20Furnes&rft.date=2024-03-06&rft.volume=24&rft.issue=1&rft.spage=300&rft.epage=300&rft.pages=300-300&rft.issn=1472-6963&rft.eissn=1472-6963&rft_id=info:doi/10.1186/s12913-024-10714-9&rft.pub=BioMed%20Central%20Ltd&rft.place=England&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/38448964&rft_id=info:eric/&rft_dat=%3Cgale_doaj_%3EA785603189%3C/gale_doaj_%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.56&req.skin=primo&rft_pqid=2956854490&rft_galeid=A785603189View online Article Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives Øyri, Sina Furnes ; Wiig, Siri ; Tjomsland, Ole, England, British Medical Journal Publishing Group, e002672-, BMJ open quality, 2, 13, 2024-05-08, e002672 https://bibsys-ur.userservices.exlibrisgroup.com/view/uresolver/47BIBSYS_UBIS/openurl-XYEUBIS?ctx_enc=info:ofi/enc:UTF-8&ctx_id=10_1&ctx_tim=2024-09-30T08%3A49%3A30IST&ctx_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&url_ver=Z39.88-2004&rfr_id=info:sid/primo.exlibrisgroup.com-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Influence%20of%20external%20assessment%20on%20quality%20and%20safety%20in%20surgery:%20a%20qualitative%20study%20of%20surgeons%E2%80%99%20perspectives&rft.jtitle=BMJ%20open%20quality&rft.au=%C3%98yri,%20Sina%20Furnes&rft.date=2024-05-08&rft.volume=13&rft.issue=2&rft.spage=e002672&rft.pages=e002672-&rft.issn=2399-6641&rft.eissn=2399-6641&rft_id=info:doi/10.1136/bmjoq-2023-002672&rft.pub=British%20Medical%20Journal%20Publishing%20Group&rft.place=England&rft.stitle=BMJ%20Open%20Qual&rft_id=info:bibcode/&rft_id=info:hdl/&rft_id=info:lccn/&rft_id=info:oclcnum/&rft_id=info:pmid/38724111&rft_id=info:eric/&rft_dat=%3Cproquest_doaj_%3E3052351298%3C/proquest_doaj_%3E%3Curl%3E%3C/url%3E,language=eng,view=UBIS&svc_dat=viewit&user_ip=10.16.56.134&req.skin=primo&rft_pqid=3052351298&rfr_iscdi=trueView online Report Fra varsel til læring og forbedring. Rapport fra utvalg oppnevnt for å vurdere varselordningene til Statens helsetilsyn og Statens undersøkelseskommisjon for helse- og omsorgstjenesten. Varselutvalget, https://www.regjeringen.no/contentassets/5a81f30f6ffc402385db60a7d35c8e15/varselsutvalget.pdfView online
The course description is retrieved from FS (Felles studentsystem). Version 1