Generic analysis method to learn from serious adverse events in Dutch hospitals: a human factors perspective

Background Hospitals in various countries such as the Netherlands investigate and analyse serious adverse events (SAEs) to learn from previous events and attempt to prevent recurrence. However, current methods for SAE analysis do not address the complexity of healthcare and investigations typically focus on single events on the hospital level. This hampers hospitals in their ambition to learn from SAEs. Integrating human factors thinking and using a holistic and more consistent method could improve learning from SAEs. Aim This study aims to develop a novel generic analysis method (GAM) to: (1)... Mehr ...