title: [Need for innovation in working with adverse events].
abstract: Patient safety has been in focus in the Danish health care for the past five years, with a mandatory reporting system for adverse events/incidents at hospitals. The incidents have been analysed with the Root Cause Analysis. This analysis is a relatively simple linear cause effect analysis, however, not suitable for the use in a complex sociotechnic health-care system. There is a need for other methods and approaches, which can reflect this complexity and focus on the future prospective prevention.
authors: Center for Kvalitet, Region Syddanmark, P.V. Tuxensvej 5, 5500 Middelfart, Denmark. birgit.viskum@dadlnet.dk
authors: Birgit
authors: B
authors: Viskum
authors: Andreas Granhof
authors: AG
authors: Juhl
authors: Inge
authors: I
authors: Pedersen
authors: Michael Dyre
authors: MD
authors: Stæhr
mesh_terms: D003718:Denmark; D004282:Documentation; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D008962:Models, Theoretical; D061214:Patient Safety; D011785:Quality Assurance, Health Care; D012308:Risk Management / Q000379:methods / Q000592:standards