... reporting Clinical risk management Root cause analysis Pikkel et al. (2014) evaluated the frequency of mistakes that can occur in the absence of verification among ten cataract surgeons. Before entering the OR, the surgeon was given the patient’ name and asked to identify which eye...

... and explore the use of a database as a tool to embed learning. Design/methodology/approach Documentary examination was conducted of all adverse incidents reported between 1 June 2011 and 30 June 2012 by three UK National Health Service hospitals. One root cause analysis report per adverse incident...

... an intermediate level or at more than one level, repeat analysis is unavoidable. Graham R. Lee can be contacted at: glee@mater.ie © Emerald Group Publishing Limited 2016 Total quality management Quality measures Risk management Quality programmes Root cause analysis We consider...

...Matthew D. Smith; Julian D. Birch; Mark Renshaw; Melanie Ottewill Purpose The purpose of this paper is to evaluate the common themes leading or contributing to clinical incidents in a UK teaching hospital. Design/methodology/approach A root‐cause analysis was conducted on patient safety...