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Search results with tag "Focus on institutional change"
Common Cause Analysis: Focus on Institutional Change
www.ahrq.govUsing the themes, once they are validated, to shape institutional priorities. ... trustworthy, understaffing, or poor product design. Individually, one active failure or latent condition may not threaten patients, but they can align to ... to assure that the team is working with accurate information, but they are not included in the RCA team.